Organization Name: | KITTITAS VALLEY COMMUNITY HOSPITAL |
NPI Number: | 1003016825 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | JEAN ROBERSON (DIRECTOR CBO) |
Mailing Address: | 611 S Chestnut St Suite D Ellensburg |
State: | WA US |
Postal Code: | 989264815 |
Phone Number: | 5099338700 |
Fax Number: | 5099338705 |
NPI Enumeration Date: | 07/19/2007 |
NPI Last Update Date: | 03/10/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | MD00047672 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |