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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