Healthcare Provider Details

I. General information

NPI: 1942112958
Provider Name (Legal Business Name): BELLEVUE HEALTHCARE II INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/22/2026
Last Update Date: 09/22/2026
Certification Date: 09/22/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

230 EASTLAND DR UNIT 3
TWIN FALLS ID
83301-7439
US

IV. Provider business mailing address

230 EASTLAND DR UNIT 3
TWIN FALLS ID
83301-7439
US

V. Phone/Fax

Practice location:
  • Phone: 208-471-4270
  • Fax: 208-471-4266
Mailing address:
  • Phone: 208-471-4270
  • Fax: 208-471-4266

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number
License Number State

VIII. Authorized Official

Name: JOEL GALLION
Title or Position: PRESIDENT AND CEO
Credential:
Phone: 425-451-2842