INTERNATIONAL COMMUNITY HEALTH SERVICES NPI 1114363157

NPI Information

INTERNATIONAL COMMUNITY HEALTH SERVICES is a federally qualified health center (fqhc) clinic center in Bellevue, WA. INTERNATIONAL COMMUNITY HEALTH SERVICES NPI is 1114363157. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Ichs Bellevue Medical And Dental Clinic.

The provider's business location address is:

1050 140TH AVE NE
BELLEVUE, WA
ZIP 98005-972
Phone: (425) 373-3000
Fax: (425) 373-3100

The provider's authorized official is Hermes Shahbazian .
The authorized official title is Cfo and has the following contact phone number (206) 788-3618.

The CLIA number assigned to this NPI record is 50D2185452 - federally qualified health center with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 5/17/2013 and was last updated on 3/29/2021.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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