| Bellevue Health Clinic, Llc | |
|
11711 Ne 12th St Ste 2a Bellevue WA 98005-2461 | |
| (425) 298-7771 | |
| Not Available |
| Full Name | Bellevue Health Clinic, Llc |
|---|---|
| Speciality | Internal Medicine |
| Location | 11711 Ne 12th St Ste 2a, Bellevue, Washington |
| Authorized Official Name and Position | Jihua Jia (GOVERNOR) |
| Authorized Official Contact | 4252987771 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Bellevue Health Clinic, Llc 13919 Se 81st Pl Newcastle WA 98059-7166 Ph: (425) 298-7771 | Bellevue Health Clinic, Llc 11711 Ne 12th St Ste 2a Bellevue WA 98005-2461 Ph: (425) 298-7771 |
| NPI Number | 1205487576 |
|---|---|
| Provider Enumeration Date | 09/26/2019 |
| Last Update Date | 01/15/2020 |
| Medicare PECOS PAC ID | 9830527431 |
|---|---|
| Medicare Enrollment ID | O20200313000886 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1205487576 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (* (Not Available)) | Primary |
| Provider Name | Jihua Jia |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1629357744 PECOS PAC ID: 1456578285 Enrollment ID: I20140818002809 |
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