NPIMap

Organization Active NPI

International Community Health Services

  • Federally Qualified Health Center (FQHC)
  • Bellevue, WA
National Provider Identifier
1003252636
Registry record updated Mar 29, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
600436519 Issued in WA
Legal business name
INTERNATIONAL COMMUNITY HEALTH SERVICES
Practice address
1050 140TH Ave NE
Bellevue, WA 98005-2972
Phone
(425) 373-3030
Fax
(425) 373-3033
NPI assigned
May 22, 2013
Last updated
Mar 29, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
600436519As reported in NPPES

NPPES NPI Registry

Updated by the provider on Mar 29, 2021

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Hermes Shahbazian
Title
Cfo
Phone
(206) 788-3618

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 600436519 WA Primary
Dentist 122300000X 60436519 WA

Addresses

Primary practice location

1050 140TH Ave NE
Bellevue, WA 98005-2972

Mailing address

PO Box 3007
Seattle, WA 98114-3007
Phone (206) 788-3700

Other names 1

  • ICHS Bellevue Medical and Dental Clinic Other name

National Provider Directory

National Provider Directory
Tax ID family
International District33 organizations share this tax ID, including this one
Part of
International District

Other organizations with this tax ID 31

Organizations that report the same tax identification number in the National Provider Directory.

View all 31

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1369180800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1616976000000",
    "number": "1003252636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3007",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981143007",
            "telephone_number": "206-788-3700",
            "fax_number": "206-788-3706"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1050 140TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980052972",
            "telephone_number": "425-373-3030",
            "fax_number": "425-373-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERNATIONAL COMMUNITY HEALTH SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "600436519",
        "enumeration_date": "2013-05-22",
        "last_updated": "2021-03-29",
        "certification_date": "2021-03-29",
        "status": "A",
        "authorized_official_last_name": "SHAHBAZIAN",
        "authorized_official_first_name": "HERMES",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "206-788-3618"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "WA",
            "license": "600436519",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "WA",
            "license": "60436519",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "ICHS Bellevue Medical and Dental Clinic",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "ICHS Bellevue Medical and Dental Clinic",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Bellevue, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 29, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.