KITTITAS COUNTY PUBLIC HEALTH
NPI 1508924275
Clinic/Center - Public Health, State or Local in Ellensburg, WA

NPI Status: Active since December 05, 2006

Contact Information

507 N NANUM ST
SUITE 102
ELLENSBURG, WA
ZIP 98926
Phone: (509) 962-7515
Fax: (509) 962-7581

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  • Organization
  • Clinic/Center
  • Public Health, State or Local
  • Accepts Insurance
  • CLIA Number: 50D0882483
  • CLIA Cert. Type: Other
  • CLIA Exp. Date: 04-04-2028

About KITTITAS COUNTY PUBLIC HEALTH

This page provides the complete NPI Profile along with additional information for Kittitas County Public Health, a primary care provider established in Ellensburg, Washington operating as a Clinic/center, focusing in public health, state or local . The healthcare provider is registered in the NPI registry with number 1508924275 assigned on December 2006. The practitioner's primary taxonomy code is 261QP0905X. The provider is registered as an organization and their NPI record was last updated 17 years ago. The authorized official of this NPI record is Dr. Mark Larson Md (Health Officer)

NPI
1508924275
Provider Name
KITTITAS COUNTY PUBLIC HEALTH
Entity Type
Organization
Location Address
507 N NANUM ST SUITE 102 ELLENSBURG, WA 98926
Location Phone
(509) 962-7515
Location Fax
(509) 962-7581
Mailing Address
507 N NANUM ST SUITE 102 ELLENSBURG, WA 98926
Mailing Phone
(509) 962-7515
Mailing Fax
(509) 962-7581
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
12-05-2006
Last Update Date
06-20-2008
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A primary care provider (PCP) like Kittitas County Public Health sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Public Health, State or Local

Taxonomy Code
261QP0905X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • Premera Blue Cross Alaska One Gold - PPO
  • Premera Blue Cross Preferred Bronze 5800 HSA - PPO
  • Premera Blue Cross Preferred Bronze 6350 - PPO
  • Premera Blue Cross Preferred Gold 1500 - PPO
  • Premera Blue Cross Preferred Silver 4500 - PPO
  • Premera Blue Cross Standard Bronze II - PPO
  • Premera Blue Cross Standard Gold - PPO
  • Premera Blue Cross Standard Silver - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK LARSON MD

Authorized Official Title
HEALTH OFFICER
Authorized Official Phone
(509) 962-7515

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
G000304878MEDICARE ID-TYPE UNSPECIFIED (04)WA 
7305204MEDICAID (05)WA 
7401169MEDICAID (05)WA 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0882483
Facility Type
Other
Certificate Effective Date
August 19, 1998
Certificate Expiration Date
April 04, 2028
Laboratory Director
MARK LARSON, MD
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kittitas County Public Health to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KITTITAS COUNTY PUBLIC HEALTH

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1508924275
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
25081828214
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 5 + 0 + 8 + 1 + 8 + 2 + 8 + 2 + 1 + 4 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1508924275 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following provider is registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1316104896MR. DEBRA SUE SANDVIG RD,CD, IBCLC
Individual
Dietitian, Registered507 N NANUM ST SUITE 102
ELLENSBURG, WA 98926
(509) 962-7515

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1508924275, enumerated in the NPI registry as an "organization" on December 05, 2006

The provider is located at 507 N Nanum St Suite 102 Ellensburg, Wa 98926 and the phone number is (509) 962-7515

This medical organization specializes in Clinic/Center with taxonomy code 261QP0905X with a focus in Public Health, State or Local

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska, Medicare. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 50D0882483 for a "other" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on December 05, 2006. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.