INTERNATIONAL COMMUNITY HEALTH SERVICES (NPI# 1114363157) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114363157 |
| Entity Type | Organization |
| Organization Name | INTERNATIONAL COMMUNITY HEALTH SERVICES |
| Other Organization Name | ICHS BELLEVUE MEDICAL AND DENTAL CLINIC |
| Practice Address |
1050 140th Ave Ne Bellevue WA 98005-2972 |
| Mailing Address |
Po Box 3007 Seattle WA 98114-3007 |
| Practice Telephone | 4253733000 |
| Practice Fax Number | 4253733100 |
| Mailing Telephone | 2067883700 |
| Mailing Fax Number | 2067883521 |
| Enumeration Date | 2013-05-17 |
| Last Update Date | 2019-01-23 |
| Authorized Official Name | PEGGY PHUNG (BILLING ADMINISTRATOR) |
| Authorized Official Telephone | 2067883605 |
| Is Organization Subpart | Y |
| Parent Organization Name | INTERNATIONAL COMMUNITY HEALTH SERVICES |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| N | 251B00000X | Case Management | Agencies | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
600436519 | WA | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| ICHS Bellevue Medical and Dental Clinic | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376083741 | International Community Health Services | Optometrist | 718 8th Ave S, Seattle, WA 98104-3006 | 2017-03-03 |
| 1871110452 | International Community Health Services | Case Management | 720 8th Ave S, Seattle, WA 98104-3032 | 2020-06-30 |
| 1194223412 | International Community Health Services | Meals | 803 S Lane St, Seattle, WA 98104-3044 | 2018-02-01 |
| 1801299227 | International Community Health Services | Dentist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-09-30 |
| 1356757389 | International Community Health Services | Clinic/Center | 3639 Martin Luther King Jr Way S, Seattle, WA 98144-6847 | 2014-07-10 |
| 1992124747 | International Community Health Services | Family Medicine | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-04-09 |
| 1275951295 | International Community Health Services | Dentist | 16549 Aurora Ave N, Shoreline, WA 98133-5308 | 2014-04-07 |
| 1003252636 | International Community Health Services | Dentist | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2013-05-22 |
| 1538351085 | International Community Health Services | Psychologist | 3815 S Othello St, 2nd Fl., Seattle, WA 98118-3510 | 2007-08-17 |
| 1679765259 | International Community Health Services | Psychologist | 720 8th Ave S, Suite 100, Seattle, WA 98104-3032 | 2007-08-16 |
| Street Address |
1050 140TH AVE NE |
| City | BELLEVUE |
| State | WA |
| Zip Code | 98005-2972 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922021781 | Desiree A Fletcher | Dentist | 1050 140th Ave Ne, Suite A, Bellevue, WA 98005-2972 | 2006-07-25 |
| 1841713641 | Tess Dominique Sorbo | Registered Nurse | 1050 140th Ave Ne, Bellevue, WA 98005 | 2017-07-24 |
| 1326408683 | Jason Gov | Dentist | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2016-02-29 |
| 1023496312 | Katherine Vogel | Dentist | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2015-05-07 |
| 1700283363 | Jessica Henneman | Nurse Practitioner | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2014-11-25 |
| 1003252636 | International Community Health Services | Dentist | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2013-05-22 |
| 1174880306 | Elizabeth Dart | Massage Therapist | 1050 140th Ave Ne, Ste D, Bellevue, WA 98005-2972 | 2012-04-12 |
| 1295002426 | Alexis Karlson | Massage Therapist | 1050 140th Ave Ne, Ste D, Bellevue, WA 98005-2972 | 2011-11-16 |
| 1700172889 | Sayaka Kondo Arimoto | Dentist | 1050 140th Ave Ne, Bellevue, WA 98005 | 2011-06-27 |
| 1740574623 | Naoko Metz | Counselor | 1050 140th Ave Ne, Bellevue, WA 98005-2972 | 2011-06-08 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194161 | Move Well, Be Well Pllc | Clinic/Center | 11900 Ne 1st Street, Suite 3106, Bellevue, WA 98005 | 2020-05-06 |
| 1649899410 | Wen-fang Ku | Acupuncturist | 13555 Bel-red Rd, Suite 110, Bellevue, WA 98005 | 2020-04-13 |
| 1558901801 | Janelle Morris | Behavior Technician | 12729 Northup Way, Suite 9, Bellevue, WA 98005 | 2020-01-14 |
| 1912467234 | Amanda Gallardo | Behavior Technician | 13333 Bel Rd Suite 100, Bellevue, WA 98005 | 2019-03-22 |
| 1639637903 | Oxana I Varvaryuk | Massage Therapist | 606 120th Ave Ne, Suite D104, Bellevue, WA 98005 | 2019-03-06 |
| 1609346246 | Bhavjit Kaur Mangat | Optometrist | 1808 Richards Rd Suite 110, Bellevue, WA 98005 | 2018-11-27 |
| 1386138907 | Amanda Frances Ellis | Dietitian, Registered | 915 118th Ave Se, Attention Alecia Johnson, Ret Physica, Suite 110, Bellevue, WA 98005 | 2018-06-18 |
| 1093227654 | Jinda Chaijinda | Naturopath | 13353 Bel-red Road Suite A105, Bellevue, WA 98005 | 2017-11-03 |
| 1962927038 | Laura Jo Zuker Olsen | Optometrist | 13401 Bel-red Rd Ne, Suite A4 - Bellevue Vision Clinic, Bellevue, WA 98005 | 2017-08-09 |
| 1336678697 | Yong Huang | Massage Therapist | 12505 Bel-red Road, Suite 188, Bellevue, WA 98005 | 2017-06-08 |
| Find all providers in zip 98005 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295105112 | Oneworld Community Health Centers, Inc. | Clinic/Center | 2207 Georgia Ave, Bellevue, NE 68005-4524 | 2015-10-05 |
| 1922610393 | King County Finance | Clinic/Center | 14350 Se Eastgate Way, Bellevue, WA 98007-6458 | 2020-08-18 |
| 1568644714 | Sea-mar Community Health Center | Clinic/Center | 1811 156th Ave Ne, Suite 2, Bellevue, WA 98007-4344 | 2007-11-29 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
| 1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.