Amercho Medical Specialty Clinic
Organization Active NPI Clinic/Center · Bellevue, WA
NPI 1629323258 · NPPES record last updated Jun 2, 2014
Key facts
- NPI
- 1629323258
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinic/Center 261Q00000X
- Legal business name
- AMERCHO MEDICAL SPECIALTY CLINIC
- Practice address
- 1900 116TH Ave NE Ste 200
Bellevue, WA 98004-3052 - Phone
- (425) 223-3808
- Fax
- (425) 223-3806
- NPI assigned
- Jul 19, 2012
- Organization subpart
- No
Authorized official
- Name
- Yunyun Liu
- Title
- Clinic Manager
- Phone
- (425) 223-3808
Practitioners 1
-
Zhiqian Wang, MD
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in WA
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20140523002166 | WA | Part B Supplier - Clinic/Group Practice | 6901029727 |
Receives reassigned benefits from 1 practitioner Practice locations: Bellevue, WA |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinic/Center | 261Q00000X | Yes |
Addresses
Primary practice location
1900 116TH Ave NE Ste 200
Bellevue, WA 98004-3052
Mailing address
7521 53Rd Street CT W
University Place, WA 98467-5007
Other providers in Bellevue, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 2, 2014. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.