NPIMap

Organization Active NPI

Bellevue Healthcare II Inc

Doing business as Bellevue Healthcare North Idaho

  • Durable Medical Equipment & Medical Supplies
  • Coeur d'Alene, ID
National Provider Identifier
1154618510
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X
Legal business name
BELLEVUE HEALTHCARE II INC
Doing business as
Bellevue Healthcare North Idaho
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
Last updated
May 13, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Authorized official

Name
Joel Gallion
Title
President
Phone
(425) 451-2842

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X ID Primary
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 1

IdentifierTypeStateIssuer
1285853069MedicaidID

Other names 1

  • Bellevue Healthcare North Idaho Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in ID

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111121000062 ID DME Supplier - Medical Supply CompanyDME Supplier - Medical Supply Company With Respiratory TherapistDME Supplier - Oxygen & Equipment 5395917298 1 other NPI on this enrollment
Practice locations: Coeur D'Alene, ID

Other NPIs with the same Medicare PAC ID 21

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 21

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Bellevue Healthcare115 E Harrison Ave, Coeur D'Alene, ID 83814-3238(208) 676-1768 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 assignmentParticipating since Sep 7, 2011

National Provider Directory

National Provider Directory
Tax ID family
Bellevue Healthcare II Inc22 organizations share this tax ID, including this one

Other organizations with this tax ID 21

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

View all 21

NPI Registry JSON

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

{
    "created_epoch": "1309910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715558400000",
    "number": "1154618510",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2015 152ND AVE NE",
            "city": "REDMOND",
            "state": "WA",
            "postal_code": "980525521",
            "telephone_number": "425-740-5060",
            "fax_number": "425-740-5062"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 E HARRISON AVE",
            "city": "COEUR D ALENE",
            "state": "ID",
            "postal_code": "838143238",
            "telephone_number": "208-676-1768",
            "fax_number": "208-665-9630"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE HEALTHCARE II INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-06",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A",
        "authorized_official_last_name": "GALLION",
        "authorized_official_first_name": "JOEL",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "425-451-2842"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "ID",
            "license": null,
            "primary": true
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "ID",
            "license": null,
            "primary": false
        },
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "ID",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1285853069",
            "state": "ID"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Healthcare North Idaho",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Coeur d'Alene, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.