# VIRGINIA MASON MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** VIRGINIA MASON MEDICAL CENTER
- **Other names:** VIRGINIA MASON BELLEVUE ASC
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1699702050
- **Legal business name:** VIRGINIA MASON MEDICAL CENTER
- **Authorized official:** MONICA HILT (PRESIDENT)
- **Authorized official phone:** (206) 341-1208

## Contact information

- **Practice address:** 11695 NE 4TH ST, BELLEVUE, WA 98004-5268
- **Practice address phone:** (425) 637-1855
- **Practice address fax:** (206) 344-7970
- **Mailing address:** PO BOX 741515, LOS ANGELES, CA 90074-1515
- **Mailing address phone:** (206) 515-5811
- **Mailing address fax:** (206) 341-0274

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | H010 | WA | Yes |

## Other

- **Enumeration date:** 06/28/2006
- **Last updated:** 08/07/2024

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 7139595 | — | WA |
| 01 | — | 9014090 | MEDICARE | WA |