BELLEVUE HEALTH AND EMERGENCY CLINIC, INC. (NPI# 1700055704) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1700055704 |
| Entity Type | Organization |
| Organization Name | BELLEVUE HEALTH AND EMERGENCY CLINIC, INC. |
| Other Organization Name | BELLEVUE HEALTH CENTER |
| Practice Address |
1002 W Mission Ave Bellevue NE 68005-3947 |
| Practice Telephone | 4022924164 |
| Practice Fax Number | 4022914643 |
| Mailing Telephone | 4022924164 |
| Mailing Fax Number | 4022914643 |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2015-10-21 |
| Authorized Official Name | MS. MARY LOU CLARK CARHART (PRESIDENT/ADMINISTRATOR) |
| Authorized Official Telephone | 4022924164 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207VG0400X |
Obstetrics & Gynecology Specialization: Gynecology |
15162 | NE | Allopathic & Osteopathic Physicians |
| N | 208600000X | Surgery | 15162 | NE | Allopathic & Osteopathic Physicians |
| Y | 208D00000X | General Practice | 15162 | NE | Allopathic & Osteopathic Physicians |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| IA | 0996926 | 05 |
| Other Name | Type Code |
|---|---|
| BELLEVUE HEALTH CENTER | Doing Business As Name - Organization |
| Street Address |
1002 W MISSION AVE |
| City | BELLEVUE |
| State | NE |
| Zip Code | 68005-3947 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588220230 | Affiliated Reproductive Health Clinics Inc | Obstetrics & Gynecology | 1002 W Mission Ave, Bellevue, NE 68005-3947 | 2019-05-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750988325 | Melissa Ann Jansen | Social Worker | Mission Middle School, Bellevue, NE 68005 | 2020-10-06 |
| 1295352144 | Angel Lowery | Counselor | 112 E Mission Ave, Bellevue, NE 68005 | 2020-06-26 |
| 1760915656 | Maria Clark | Counselor | 1620 Wilshire Dr Ste 222, Bellevue, NE 68005 | 2017-04-06 |
| 1427420512 | Daryan Whaler | Specialist/Technologist | 1000 Galvin Rd S, Bellevue, NE 68005 | 2015-10-28 |
| 1750704623 | Joseph Gavis Councill IIi | Nurse Practitioner | 919 Galvin Rd. S., Suite A, Bellevue, NE 68005 | 2014-01-29 |
| 1205265501 | Rebecca Parsons | Speech-Language Pathologist | 510 W 22nd Avenue, Bellevue, NE 68005 | 2013-11-06 |
| 1649524174 | Tammy Lee Winkler-bitzes | Physical Therapist | 1820 Hillcrest Dr Suite A, Belleuve, NE 68005 | 2012-11-06 |
| 1811268311 | Charice M Butler | Counselor | 919 Galvin Rd S. Ste A, Bellevue, NE 68005 | 2012-01-16 |
| 1184991945 | Angela M Matney | Pharmacist | Hwy 370 & Galvin Road, Bellevue, NE 68005 | 2011-11-22 |
| 1770878852 | Sarah Cathryn Sedlak | Physical Therapist | 2206 Longo Drive, Ste 211, Excel Physical Therapy, Bellevue, NE 68005 | 2011-06-16 |
| Find all providers in zip 68005 | ||||
| Taxonomy Code | 208D00000X |
| Grouping | Allopathic & Osteopathic Physicians |
| Classification | General Practice |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407134034 | Shane Michael Thomas | General Practice | 4524 173rd Ave Se, Bellevue, WA 98006-6524 | 2011-08-01 |
| 1821309147 | Li Zhai | General Practice | 1406 140th Pl Ne Ste 100, Bellevue, WA 98007-3941 | 2010-07-01 |
| 1275656076 | Daria Marie Davidson | General Practice | 1400 112th Ave Se Ste 100q, Bellevue, WA 98004-6901 | 2007-04-08 |
| 1144885245 | Ashley Anne Triboulet | General Practice | 10655 Ne 4th St Ste 101, Bellevue, WA 98004-5022 | 2019-05-03 |
| 1861918518 | Professional Recreation Organization, Inc. | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2017-08-15 |
| 1831444306 | Barry Weiss | General Practice | 10655 Ne 4th St, Ste 310, Bellevue, WA 98004-5035 | 2012-07-19 |
| 1760737654 | Mark Dedomenico | General Practice | 4455 148th Ave Ne, Bellevue, WA 98007-3120 | 2012-07-17 |
| 1649551037 | Sage Medical Group | General Practice | 12600 Se 38th St, Suite 130, Bellevue, WA 98006-6105 | 2011-08-30 |
| 1396031100 | Michael Woo, Nd, L.ac. Inc. | General Practice | 2320 130th Ave Ne, Suite 120, Bellevue, WA 98005-1752 | 2011-06-21 |
| 1841420593 | Patrick Phan, M.d., P.s. | General Practice | 2902 112th Ave Se, Bellevue, WA 98004-7528 | 2009-07-15 |
| Find all providers in BELLEVUE | ||||
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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.