Bellevue Healthcare II Inc
Organization Active NPI Durable Medical Equipment & Medical Supplies · Coeur D Alene, ID
NPI 1154618510 · NPPES record last updated May 13, 2024
Key facts
- NPI
- 1154618510
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Durable Medical Equipment & Medical Supplies 332B00000X
- Legal business name
- BELLEVUE HEALTHCARE II INC
- Practice address
- 115 E Harrison Ave
Coeur D Alene, ID 83814-3238 - Phone
- (208) 676-1768
- Fax
- (208) 665-9630
- NPI assigned
- Jul 6, 2011
- Organization subpart
- No
Authorized official
- Name
- Joel Gallion
- Title
- President
- Phone
- (425) 451-2842
Other NPIs on the same Medicare enrollment 1
Other NPIs with the same Medicare PAC ID 21
Corporate family (same tax ID) 20
Laboratory certificates & supplier records
Medicare medical equipment & supply locations
| Supplier | Supplies | Medicare assignment |
|---|---|---|
| Bellevue Healthcare |
Commodes, Urinals, Bedpans|Continuous Passive Motion (CPM) Devices|Blood Glucose Monitors/Supplies (Mail Order)|Heat & Cold Applications|Hospital Beds (Electric)|Hospital Beds (Manual)|Support Surfaces: Pressure Reducing Beds/Mats/Pads|(TENS) Transcutaneous Electrical Nerve Stimulators and/or Suppl… | Does not accept assignment |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in ID
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20111121000062 | ID | DME Supplier - Medical Supply Company |
5395917298 |
1 other NPI on this enrollment Practice locations: Coeur D'Alene, ID |
National Provider Directory
- Tax ID family
- Bellevue Healthcare II Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Durable Medical Equipment & Medical Supplies | 332B00000X | ID | Yes | |
| Customized Equipment (DME) | 332BC3200X | ID | ||
| Oxygen Equipment & Supplies (DME) | 332BX2000X | ID |
Addresses
Primary practice location
115 E Harrison Ave
Coeur D Alene, ID 83814-3238
Mailing address
2015 152ND Ave NE
Redmond, WA 98052-5521
Phone (425) 740-5060
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1285853069 | Medicaid | ID |
Other names
- Bellevue Healthcare North Idaho
Other providers in Coeur D Alene, ID
- Eliessa Bell
- George Christopher Bell
- Robyn D Bell
- Bella Angel Care, LLC
- Alexandra Bellem
- Leah Bennett
- Rebecca Danielle Joy Beno
- James Gregory Berain
- David Berdan
- Colleen Joan Bergin
All providers in Coeur D Alene, ID · Durable Medical Equipment & Medical Supplies in Idaho
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.