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Organization
ANESIS BEL-RED ASC, LLC
Active
Organization
ANESIS BEL-RED ASC, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEVIN MOON (DIRECTOR OF REVENUE AND FINANCE)
(206) 538-6300
Entity
Organization
Contact information
Practice address
1260 116TH AVE NE, SUITE 110, BELLEVUE, WA 98004-3809
(425) 455-7225
(425) 455-0045
Mailing address
1260 116TH AVE NE STE 110, BELLEVUE, WA 98004-3800
(425) 455-7225
(425) 455-0045
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
—
WA
367500000X
Certified Registered Nurse Anesthetist
—
NULL
367500000X
Certified Registered Nurse Anesthetist
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
50-C0001258
SUPPLIER NUMBER
WA
Enumeration date
10/03/2006
Last updated
07/30/2025
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