| Ichs Bellevue Medical And Dental Clinic | |
|
1050 140th Ave Ne Bellevue WA 98005-2972 | |
| (425) 373-3030 | |
| (425) 373-3033 |
| Full Name | Ichs Bellevue Medical And Dental Clinic |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1050 140th Ave Ne, Bellevue, Washington |
| Authorized Official Name and Position | Hermes Shahbazian (CFO) |
| Authorized Official Contact | 2067883618 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ichs Bellevue Medical And Dental Clinic Po Box 3007 Seattle WA 98114-3007 Ph: (206) 788-3700 | Ichs Bellevue Medical And Dental Clinic 1050 140th Ave Ne Bellevue WA 98005-2972 Ph: (425) 373-3030 |
| NPI Number | 1003252636 |
|---|---|
| Provider Enumeration Date | 05/22/2013 |
| Last Update Date | 03/29/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003252636 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 60436519 (Washington) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600436519 (Washington) | Primary |
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