NPIMap

Organization Active NPI

Bellevue Healthcare LLC

Doing business as Bellevue Healthcare LLC South Sound

  • Oxygen Equipment & Supplies (DME)
  • Lacey, WA
National Provider Identifier
1639448566
Registry record updated Dec 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
Legal business name
BELLEVUE HEALTHCARE LLC
Doing business as
Bellevue Healthcare LLC South Sound
Practice address
4500 Pacific Ave SE
Ste B
Lacey, WA 98503-1112
Phone
(360) 438-2955
Fax
(360) 438-2112
NPI assigned
Dec 21, 2011
Last updated
Dec 21, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2011

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

Authorized official

Name
Joel T Gallion
Title
General Manager
Phone
(253) 274-8500

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X Primary

Addresses

Primary practice location

4500 Pacific Ave SE
Ste B
Lacey, WA 98503-1112

Mailing address

4500 Pacific Ave SE
Ste B
Lacey, WA 98503-1112
Phone (360) 438-2955

Other names 1

  • Bellevue Healthcare LLC South Sound Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Bellevue Healthcare LLC7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

4500 Pacific Ave SE
Ste B
Lacey, WA 98503
Phone (360) 438-2955

NPI Registry JSON

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

{
    "created_epoch": "1324425600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1324425600000",
    "number": "1639448566",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4500 PACIFIC AVE SE",
            "address_2": "STE B",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031112",
            "telephone_number": "360-438-2955",
            "fax_number": "360-438-2112"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4500 PACIFIC AVE SE",
            "address_2": "STE B",
            "city": "LACEY",
            "state": "WA",
            "postal_code": "985031112",
            "telephone_number": "360-438-2955",
            "fax_number": "360-438-2112"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BELLEVUE HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-12-21",
        "last_updated": "2011-12-21",
        "status": "A",
        "authorized_official_last_name": "GALLION",
        "authorized_official_first_name": "JOEL",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "GENERAL MANAGER",
        "authorized_official_telephone_number": "253-274-8500"
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Bellevue Healthcare LLC South Sound",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lacey, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2011; 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.