Organization Active NPI

City of Bellevue

Doing business as Bellevue Fire Department

  • Land Ambulance
  • Bellevue, WA
National Provider Identifier
1427328467
Registry record updated Mar 5, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
License
17M02 Issued in WA
Legal business name
CITY OF BELLEVUE
Doing business as
Bellevue Fire Department
Practice address
450 110TH Ave NE
Bellevue, WA 98004-5514
Phone
(425) 452-6892
NPI assigned
Jan 6, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 5, 2024

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

Authorized official

Name
Jay Hagan
Title
Fire Chief
Phone
(425) 452-6892

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Land Ambulance 3416L0300X 17M02 WA Primary

Addresses

Primary practice location

450 110TH Ave NE
Bellevue, WA 98004-5514

Mailing address

PO Box 3510
Silverdale, WA 98383-3510
Phone (360) 394-7030

Other names 1

  • Bellevue Fire Department Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120406000151 WA Part B Supplier - Ambulance Service Supplier 9739340415 Practice locations: Bellevue, WA; Clyde Hill, WA

National Provider Directory

National Provider Directory

Locations

1850 132nd Ave NE
Bellevue, WA 98005
Phone (425) 452-4306

766 Bellevue Way SE
Bellevue, WA 98004
Phone (425) 229-2434

4216 Factoria Blvd SE
Bellevue, WA 98006
Phone (425) 452-4304

5701 Lakemont Blvd SE
Bellevue, WA 98006
Phone (425) 452-4308

2802 148th Ave SE
Bellevue, WA 98007
Phone (425) 452-4302

11900 SE 8th St
Bellevue, WA 98005
Phone (425) 452-4307

450 110th Ave NE
Bellevue, WA 98004
Phone (425) 452-6892

12412 Newcastle Way
Bellevue, WA 98006
Phone (425) 452-4309

16100 NE 8th St
Bellevue, WA 98008
Phone (425) 452-4303

9621 NE 24th St
Clyde Hill, WA 98004
Phone (425) 452-4305

NPI Registry JSON

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

{
    "created_epoch": "1325808000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1709596800000",
    "number": "1427328467",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3510",
            "city": "SILVERDALE",
            "state": "WA",
            "postal_code": "983833510",
            "telephone_number": "360-394-7030",
            "fax_number": "360-394-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "450 110TH AVE NE",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045514",
            "telephone_number": "425-452-6892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CITY OF BELLEVUE",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-01-06",
        "last_updated": "2024-03-05",
        "certification_date": "2024-03-05",
        "status": "A",
        "authorized_official_last_name": "HAGAN",
        "authorized_official_first_name": "JAY",
        "authorized_official_title_or_position": "FIRE CHIEF",
        "authorized_official_telephone_number": "425-452-6892"
    },
    "taxonomies": [
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": "WA",
            "license": "17M02",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Fire Department",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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 5, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.