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ICHS BELLEVUE MEDICAL AND DENTAL CLINIC
NPI 1114363157
Clinic/Center - Federally Qualified Health Center (FQHC) in Bellevue, WA

Active since May 17, 2013CLIA 50D2185452 · Microscopy
1050 140TH AVE NE, BELLEVUE, WA 98005(425) 373-3000(425) 373-3100 Get Directions Write a Review

NPPES record last updated: March 29, 2021. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Mar 29, 2021, Jan 26, 2021, Jan 23, 2019 (3 updates tracked since 2019).

About Ichs Bellevue Medical And Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ICHS BELLEVUE MEDICAL AND DENTAL CLINIC (NPI 1114363157) is a healthcare organization registered as a federally qualified health center (fqhc) in Bellevue, Washington and active in the NPI registry since May 2013. The organization holds a CLIA Microscopy certificate valid through April 4, 2028 and lists Hermes Shahbazian, Cfo, as its authorized official.

NPPES Registry Identity

NPI1114363157
Entity TypeOrganization
Primary Taxonomy261QF0400X
Legal Business NameINTERNATIONAL COMMUNITY HEALTH SERVICES
Location Address1050 140TH AVE NEBellevue, WA 98005-2972
Mailing AddressPo Box 3007Seattle, WA 98114-3007 · (206) 788-3700 · Fax (206) 788-3521
Phone(425) 373-3000
Fax(425) 373-3100
Organization SubpartYes
Authorized OfficialHermes ShahbazianCfo · (206) 788-3618
Enumeration DateMay 17, 2013
Last NPPES UpdateMarch 29, 20213 updates tracked since enumeration
NPPES CertifiedMarch 29, 2021
✔ NPI 1114363157 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities
Taxonomy Code261QF0400X
License✔ Licensed in WA · 600436519
Also ListedFamily MedicineTaxonomy 207Q00000X
Also ListedCase ManagementTaxonomy 251B00000X
1050 140TH AVE NE, Bellevue, WA 98005
Open in Google Maps ↗

Other Names 1

Other NameIchs Bellevue Medical And Dental Clinic

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 50D2185452

Ichs Bellevue Medical And Dental Clinic · Bellevue, WA
Active · expires Apr 4, 2028
CLIA Number50D2185452
Laboratory TypeFederally Qualified Health Center
Certificate Effective DateOctober 28, 2020
Certificate Expiration DateApril 4, 2028
Laboratory DirectorWinnie Lee
Laboratory Phone(425) 373-3000
Laboratory LocationIchs Bellevue Medical And Dental Clinic1050 140th Ave NE, Bellevue, WA 98005
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. DESIREE A FLETCHER DDS
Dentist (General Practice)
1050 140TH AVE NE, SUITE A
BELLEVUE, WA 98005
King County (425) 746-7410
SCOTT E. HAMMONS D.C.
Chiropractor
1050 140TH AVE NE, SUITE D
BELLEVUE, WA 98005
King County (425) 688-0223
DR. AARON MICHAEL HAMMONS D.C.
Chiropractor
1050 140TH AVE NE, SUITE D
BELLEVUE, WA 98005
King County (425) 688-0223
MECHELL PEREZ CASTRO LMP
Massage Therapist
1050 140TH AVE NE, SUITE D
BELLEVUE, WA 98005
King County (425) 688-0223
DR. TREVOR DONALD GILBERT DC
Chiropractor (Rehabilitation)
1050 140TH AVE NE, STE D
BELLEVUE, WA 98005
King County (425) 688-0223
JOSHUA NELSON LMP
Massage Therapist
1050 140TH AVE NE, STE D
BELLEVUE, WA 98005
King County (425) 688-0223
ALEXIS KARLSON LMP
Massage Therapist
1050 140TH AVE NE, STE D
BELLEVUE, WA 98005
King County (425) 688-0223
ELIZABETH DART
Massage Therapist
1050 140TH AVE NE, STE D
BELLEVUE, WA 98005
King County (425) 688-0223

Frequently Asked Questions

What is INTERNATIONAL COMMUNITY HEALTH SERVICES's NPI number?

The NPI number assigned to this healthcare provider is 1114363157, enumerated as an "organization" on May 17, 2013.

Where is the provider located?

The provider is located at 1050 140TH AVE NE BELLEVUE, WA 98005 and the phone number is (425) 373-3000.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

What insurance does INTERNATIONAL COMMUNITY HEALTH SERVICES accept?

The provider might be accepting Accepts: Premera Blue Cross Blue Shield of Alaska. Please consult your insurance carrier or call the provider to verify.