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Organization

OVERLAKE MEDICAL CENTER & CLINICS

Active
Other names
Overlake Hospital Medical Center
Organization subpart
No

Provider details

NPI number
Authorized official
JONATHAN DUARTE (CEO)
(425) 688-5784
Entity
Organization

Contact information

Practice address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5000
(425) 688-5658
Mailing address
1035 116TH AVE NE, BELLEVUE, WA 98004-4604
(425) 688-5000
(425) 688-5658

Taxonomy

Speciality
Code
Description
License number
State
273R00000X
Psychiatric Hospital Unit
Primary
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1019565
WA
01
50S051
MEDICARE PROVIDER NUMBER - INPATIENT PSYCH UNIT
WA
Enumeration date
08/01/2006
Last updated
08/04/2025
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