# ANESIS BEL-RED ASC, LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1851486195
- **Authorized official:** MR. KEVIN MOON (DIRECTOR OF REVENUE AND FINANCE)
- **Authorized official phone:** (206) 538-6300

## Contact information

- **Practice address:** 1260 116TH AVE NE, SUITE 110, BELLEVUE, WA 98004-3809
- **Practice address phone:** (425) 455-7225
- **Practice address fax:** (425) 455-0045
- **Mailing address:** 1260 116TH AVE NE STE 110, BELLEVUE, WA 98004-3800
- **Mailing address phone:** (425) 455-7225
- **Mailing address fax:** (425) 455-0045

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QA1903X | Ambulatory Surgical Clinic/Center | — | WA | Yes |
| 367500000X | Certified Registered Nurse Anesthetist | — | NULL | — |
| 367500000X | Certified Registered Nurse Anesthetist | — | — | — |

## Other

- **Enumeration date:** 10/03/2006
- **Last updated:** 07/30/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 50-C0001258 | SUPPLIER NUMBER | WA |