Healthcare Provider Details

I. General information

NPI: 1285853069
Provider Name (Legal Business Name): BELLEVUE HEALTHCARE II INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/24/2007
Last Update Date: 05/15/2024
Certification Date: 05/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

23102 E APPLEWAY AVE
LIBERTY LAKE WA
99019-9585
US

IV. Provider business mailing address

2015 152ND AVE NE
REDMOND WA
98052-5521
US

V. Phone/Fax

Practice location:
  • Phone: 509-327-7799
  • Fax: 509-532-1088
Mailing address:
  • Phone: 425-740-5060
  • Fax: 425-740-5062

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number603037535
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number603037535
License Number StateWA
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number603037535
License Number StateWA

VIII. Authorized Official

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