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Organization

INTERNATIONAL COMMUNITY HEALTH SERVICES

Active
Parent organization
600436519
Other names
ICHS Bellevue Medical and Dental Clinic
Organization subpart
Yes

Provider details

NPI number
Legal business name
600436519
Authorized official
HERMES SHAHBAZIAN (CFO)
(206) 788-3618
Entity
Organization

Contact information

Practice address
1050 140TH AVE NE, BELLEVUE, WA 98005-2972
(425) 373-3030
(425) 373-3033
Mailing address
PO BOX 3007, SEATTLE, WA 98114-3007
(206) 788-3700
(206) 788-3706

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
60436519
WA
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600436519
WA

Other

Enumeration date
05/22/2013
Last updated
03/29/2021
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