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Overlake Medical Center & Clinics

Organization Active NPI Psychiatric Hospital Unit · Bellevue, WA

NPI 1811904063 · NPPES record last updated Aug 4, 2025

Key facts

NPI
1811904063
Entity type
Organization (NPI type 2)
Primary specialty
Psychiatric Hospital Unit 273R00000X
Legal business name
OVERLAKE MEDICAL CENTER & CLINICS
Practice address
1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone
(425) 688-5000
Fax
(425) 688-5658
NPI assigned
Aug 1, 2006
Organization subpart
No

Authorized official

Name
Jonathan Duarte
Title
Ceo
Phone
(425) 688-5784

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 1

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

Corporate family (same tax ID) 24

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

Member organizations 3

Organizations listed as members of this organization in the National Provider Directory.

Facilities connected through Provider of Services related, parent or unit certification numbers.

Facilities with the same owner 20

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners 24

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in WA

Hospital certification: CCN 50S051

Legal name
OVERLAKE MEDICAL CENTER & CLINICS
Organization structure
Corporation · Non-profit
Incorporated
Feb 14, 1953 in WA
Enrollment address
1035 116TH Ave NE
Bellevue, WA 98004-4604
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

All disclosed owners & managing parties 17

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Benjamin Liu
Individual 		Corporate Director Jan 1, 2025
Steve Schwartz
Individual 		Corporate Director Jan 1, 2025
Patricia Bedient
Individual 		Corporate Officer
Treasurer		 Jan 1, 2013
Eric R Shipley
Individual 		Corporate Director Jan 1, 2024
Dilip Wagle
Individual 		Corporate Director Jan 1, 2019
Denise Merle
Individual 		Corporate Director Jan 1, 2025
Pauline Bach
Individual 		Corporate Director Jan 1, 2023
Lisa Wissner-Slivka
Individual 		Corporate Director Jan 1, 2019
Joel Robert Wilson
Individual 		Corporate Director Jan 1, 2014
W-2 Managing Employee Jan 1, 2024
Kristina Belfiore
Individual 		Corporate Director Jan 1, 2022
Ted Herb
Individual 		Corporate Director Jan 1, 2016
Annette Clark
Individual 		Corporate Director Jan 1, 2022
Multicare Health System
Organization · Tacoma, WA
Non-profit 		Operational/Managerial Control Oct 1, 2024 100%
James E Boswell
Individual 		Corporate Director
Board Member		 Jan 1, 2024
W-2 Managing Employee Jan 1, 2024
Jonathan Thomas Duarte
Individual 		Corporate Officer
Ceo		 Oct 31, 2024
W-2 Managing Employee
Ceo		 Oct 31, 2024
Tiffany Koenig
Individual 		Corporate Director Jan 1, 2020
Overlake Medical Center & Clinics
Organization · Bellevue, WA
Corporation 		5% Or Greater Direct Ownership Interest Jan 1, 1966 100%

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Overlake Medical Center & Clinics
Bellevue, WA · CCN 500051		 Hospital 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1966

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20080129000323 WA Part a Provider - Hospital 9234023433 Practice locations: Bellevue, WA

National Provider Directory

Tax ID family
Covington Urgent Care C (99 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X WA Yes

Addresses

Primary practice location

1035 116TH Ave NE
Bellevue, WA 98004-4604

Mailing address

1035 116TH Ave NE
Bellevue, WA 98004-4604
Phone (425) 688-5000

Other identifiers

IdentifierTypeStateIssuer
50S051OtherWAMEDICARE PROVIDER NUMBER - INPATIENT PSYCH UNIT
1019565MedicaidWA

Other names

  • Overlake Hospital Medical Center Former legal business name

Other providers in Bellevue, WA

All providers in Bellevue, WA · Psychiatric Hospital Unit in Washington

Sources for this page

Verify at the official NPI Registry.