South Bay Health, LLC

Primary specialty

Primary Care Clinic/CenterTaxonomy code 261QP2300X

License

AP60112444 Issued in WA

Legal business name

SOUTH BAY HEALTH, LLC

Practice address

1140 10TH St Ste 203
Bellingham, WA 98225-7053

Phone

(360) 920-4328

NPI assigned

Jun 15, 2015

Organization subpart

No

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

Authorized official

Name

Angela Belcaster, ARNP

Title

Owner

Phone

(360) 920-4328

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1434326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434326400000",
    "number": "1548641616",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "307 WILLOW CT N",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1140 10TH ST STE 203",
            "city": "BELLINGHAM",
            "state": "WA",
            "postal_code": "982257053",
            "telephone_number": "360-920-4328"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH BAY HEALTH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-06-15",
        "last_updated": "2015-06-15",
        "status": "A",
        "authorized_official_last_name": "BELCASTER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-920-4328",
        "authorized_official_credential": "ARNP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "WA",
            "license": "AP60112444",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Shaun Sowell, PHD, LMHCA

• Primary Care Clinic/Center in Bellingham, WA
• Providers in Bellingham, WA by specialty
• Primary Care Clinic/Center in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2015; 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.