NPIMap

Organization Active NPI

Carbon Health Medical Group of Florida PA

  • Urgent Care Clinic/Center
  • Bellevue, WA
National Provider Identifier
1689249096
Registry record updated Jun 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Urgent Care Clinic/CenterTaxonomy code 261QU0200X
Legal business name
CARBON HEALTH MEDICAL GROUP OF FLORIDA PA
Practice address
11100 NE 6TH St
Bellevue, WA 98004-5524
Phone
(206) 350-7345
NPI assigned
May 26, 2021
Last updated
Jun 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2025

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

Authorized official

Name
Marley Page
Title
Director
Phone
(417) 861-9739

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Urgent Care Clinic/Center 261QU0200X NU Primary

Addresses

Primary practice location

11100 NE 6TH St
Bellevue, WA 98004-5524

Mailing address

2100 Franklin St Ste 355
Oakland, CA 94612-3140

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20210818000266 WA Part B Supplier - Clinic/Group Practice 3274947304 Receives reassigned benefits from 78 practitioners
Practice locations: Seattle, WA; Puyallup, WA; Lynnwood, WA; Federal Way, WA; Bellevue, WA; Mill Creek, WA

Other NPIs with the same Medicare PAC ID 9

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

National Provider Directory

National Provider Directory

Locations

11100 NE 6th St
Bellevue, WA 98004
Phone (206) 350-7345

220 6th Ave N
Seattle, WA 98109
Phone (206) 350-7345

Practitioners & affiliated clinicians

Practitioners 81

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 81

NPI Registry JSON

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

{
    "created_epoch": "1621987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1750809600000",
    "number": "1689249096",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 FRANKLIN ST STE 355",
            "city": "OAKLAND",
            "state": "CA",
            "postal_code": "946123140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11100 NE 6TH ST",
            "city": "BELLEVUE",
            "state": "WA",
            "postal_code": "980045524",
            "telephone_number": "206-350-7345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CARBON HEALTH MEDICAL GROUP OF FLORIDA PA",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-05-26",
        "last_updated": "2025-06-25",
        "certification_date": "2025-06-25",
        "status": "A",
        "authorized_official_last_name": "PAGE",
        "authorized_official_first_name": "MARLEY",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "417-861-9739"
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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 Jun 25, 2025; 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.