Kvh Internal Medicine

LBN: Kittitas County Public Hospital Dist 1
Kvh Internal Medicine is an health care organization with primary practice located at 700 E Manitoba Ave Ste 109 , Ellensburg WA 98926-3885. The organization recently has 2 registered licenses in different health care specialties including Other Service Providers / Specialist, Ambulatory Health Care Facilities / Rural Health. Ambulatory Health Care Facilities / Rural Health is the primary health care specialty. Kittitas County Public Hospital Dist 1 can be contacted via phone (509) 925-8445, or through Preciado, Tara J via phone (509) 962-9841.

Contact Information

Primary practice address
700 E Manitoba Ave Ste 109 Ellensburg WA 98926-3885
Fax: (509) 925-8464
Website:
Authorized official contact:
Name: Preciado, Tara J

Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X H 140 Washington
Ambulatory Health Care Facilities / Rural Health 261QR1300X Washington

Profile Details

NPI number 1932115391
LBN Legal business name Kittitas County Public Hospital Dist 1
DBA Doing business as Kvh Internal Medicine
Authorized official Preciado, Tara J
Entity Organization
Organization subpart 1 No
Enumeration date Jul 31st, 2006
Last updated Aug 3rd, 2021 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1932115391 NPPES
Washington MEDICAID 7120595
Washington Other 152
Washington Other 0202873

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