Organization
VIRGINIA MASON MEDICAL CENTER
Active
Parent organization
VIRGINIA MASON MEDICAL CENTER
Other names
VIRGINIA MASON BELLEVUE ASC
Organization subpart
Yes
Provider details
NPI number
Legal business name
VIRGINIA MASON MEDICAL CENTER
Authorized official
MONICA HILT (PRESIDENT)
(206) 341-1208
Entity
Organization
Contact information
Practice address
11695 NE 4TH ST, BELLEVUE, WA 98004-5268
(425) 637-1855
(206) 344-7970
Mailing address
PO BOX 741515, LOS ANGELES, CA 90074-1515
(206) 515-5811
(206) 341-0274
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
H010
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7139595
—
WA
01
—
9014090
MEDICARE
WA
Enumeration date
06/28/2006
Last updated
08/07/2024
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