ICHS BELLEVUE MEDICAL AND DENTAL CLINIC
NPI 1114363157
Clinic/Center - Federally Qualified Health Center (FQHC) in Bellevue, WA
NPI Status: Active since May 17, 2013
Contact Information
1050 140TH AVE NE
BELLEVUE, WA
ZIP 98005
Phone: (425) 373-3000
Fax: (425) 373-3100
- Organization
- Clinic/Center
- Federally Qualified Health Center (FQHC)
- Accepts Insurance
- CLIA Number: 50D2185452
- CLIA Cert. Type: Federally Qualified Health Center
- CLIA Exp. Date: 04-04-2028
About ICHS BELLEVUE MEDICAL AND DENTAL CLINIC
This page provides the complete NPI Profile along with additional information for Ichs Bellevue Medical And Dental Clinic, a primary care provider established in Bellevue, Washington operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1114363157 assigned on May 2013. The practitioner's primary taxonomy code is 261QF0400X with license number 600436519 (WA). The provider is registered as an organization and their NPI record was last updated 4 years ago. Ichs Bellevue Medical And Dental Clinic operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's other name is Ichs Bellevue Medical And Dental Clinic. The authorized official of this NPI record is Hermes Shahbazian (Cfo)
- NPI
- 1114363157
- Provider Legal Name
- INTERNATIONAL COMMUNITY HEALTH SERVICES
- Other Organization Name
- ICHS BELLEVUE MEDICAL AND DENTAL CLINIC
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1050 140TH AVE NE BELLEVUE, WA 98005
- Location Phone
- (425) 373-3000
- Location Fax
- (425) 373-3100
- Mailing Address
- PO BOX 3007 SEATTLE, WA 98114
- Mailing Phone
- (206) 788-3700
- Mailing Fax
- (425) 373-3100
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- Yes
- Enumeration Date
- 05-17-2013
- Last Update Date
- 03-29-2021
- Code Navigator
A primary care provider (PCP) like Ichs Bellevue Medical And Dental Clinic sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Federally Qualified Health Center (FQHC)
- Taxonomy Code
- 261QF0400X
- Type
- Ambulatory Health Care Facilities
- License No.
- 600436519
- License State
- WA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 207Q00000X | Allopathic & Osteopathic Physicians | Family Medicine | |
| 2 | 251B00000X | Agencies | Case Management |
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
Insurance Plans Accepted
According to publicly available information the provider might be accepting the following health plans from these health insurance companies:
- Premera Blue Cross Alaska One Gold - PPO
- Premera Blue Cross Preferred Bronze 5800 HSA - PPO
- Premera Blue Cross Preferred Bronze 6350 - PPO
- Premera Blue Cross Preferred Gold 1500 - PPO
- Premera Blue Cross Preferred Silver 4500 - PPO
- Premera Blue Cross Standard Bronze II - PPO
- Premera Blue Cross Standard Gold - PPO
- Premera Blue Cross Standard Silver - PPO
*Please verify directly with this provider to make sure your insurance plan is currently accepted.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 50D2185452
- Facility Type
- Federally Qualified Health Center
- Certificate Effective Date
- October 28, 2020
- Certificate Expiration Date
- April 04, 2028
- Laboratory Director
- WINNIE LEE
- Certificate Type
- Certificate for Provider-Performed Microscopy Procedures (PPMP)
- Certificate Type Description
- This CLIA certificate is issued to Ichs Bellevue Medical And Dental Clinic in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 1 | 1 | 4 | 3 | 6 | 3 | 1 | 5 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 1 | 2 | 4 | 6 | 6 | 6 | 1 | 10 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 1 + 2 + 4 + 6 + 6 + 6 + 1 + 1 + 0 + 24 = 53 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 60 - 53 = 7 | 7 | ||||||||
The NPI number 1114363157 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Other Providers at the Same Location
The following 19 providers are registered at the same or nearby location.
| NPI | Name / Type | Taxonomy | Address |
|---|---|---|---|
| 1922021781 | DR. DESIREE A FLETCHER DDS Individual | Dentist (General Practice) | 1050 140TH AVE NE SUITE A BELLEVUE, WA 98005 (425) 746-7410 |
| 1285717280 | SCOTT E. HAMMONS D.C. Individual | Chiropractor | 1050 140TH AVE NE SUITE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1235296815 | DR. AARON MICHAEL HAMMONS D.C. Individual | Chiropractor | 1050 140TH AVE NE SUITE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1912165531 | MECHELL PEREZ CASTRO LMP Individual | Massage Therapist | 1050 140TH AVE NE SUITE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1114231172 | DR. TREVOR DONALD GILBERT DC Individual | Chiropractor (Rehabilitation) | 1050 140TH AVE NE STE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1063722288 | JOSHUA NELSON LMP Individual | Massage Therapist | 1050 140TH AVE NE STE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1295002426 | ALEXIS KARLSON LMP Individual | Massage Therapist | 1050 140TH AVE NE STE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1174880306 | ELIZABETH DART Individual | Massage Therapist | 1050 140TH AVE NE STE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1417099243 | DR. MONTI D SOREM DC Individual | Chiropractor | 1050 140TH AVE NE STE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1235311895 | ESSENTIAL CHIROPRACTIC AND ASSOCIATES INC Organization | Chiropractor | 1050 140TH AVE NE SUITE D BELLEVUE, WA 98005 (425) 688-0223 |
| 1215165931 | YUN HEE JO DDS Individual | Dentist | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3031 |
| 1326408683 | JASON GOV Individual | Dentist | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3000 |
| 1700172889 | DR. SAYAKA KONDO ARIMOTO D.D.S. Individual | Dentist (General Practice) | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3000 |
| 1740574623 | MS. NAOKO METZ MA, LPCC, LMHC Individual | Counselor (Mental Health) | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3000 |
| 1003252636 | INTERNATIONAL COMMUNITY HEALTH SERVICES Organization | Clinic/Center (Federally Qualified Health Center (FQHC)) | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3030 |
| 1780994400 | DR. JESSICA V NGUYEN DDS, MPH Individual | Dentist | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3030 |
| 1528528882 | DR. DENNIS HOWARD PANG MD Individual | Pediatrics | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3000 |
| 1073641577 | DR. SERENA THAM D.M.D. Individual | Dentist (General Practice) | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3000 |
| 1497918403 | DR. HAMED SAHARI-RASHTI DDS Individual | Dentist | 1050 140TH AVE NE BELLEVUE, WA 98005 (425) 373-3030 |
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114363157, enumerated in the NPI registry as an "organization" on May 17, 2013
The provider is located at 1050 140th Ave Ne Bellevue, Wa 98005 and the phone number is (425) 373-3000
This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)
The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.
The provider's CLIA number is 50D2185452 for a "federally qualified health center" facility with a CLIA Certificate for Provider-Performed Microscopy Procedures (PPMP). This CLIA certificate is issued in which a physician, midlevel practitioner or dentist that performs specific microscopy procedures during the course of a patient's visit. A limited list of provider-performed microscopy procedures is included under this certificate type, which are categorized as moderate complexity testing..
This NPI record was last updated on May 17, 2013. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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