| NAME | 
BELLEVUE VA CLINIC | 
| STATE | 
WASHINGTON | 
| STREET ADDR. 1 | 
13033 BEL-RED RD #210 | 
| CITY | 
BELLEVUE | 
| ZIP | 
98005-2633 | 
| OFFICIAL VA NAME | 
BELLEVUE VA CLINIC | 
| STATUS | 
National | 
| ASSOCIATIONS | 
 | 
| BILLING FACILITY NAME | 
BELLEVUE VA CLINIC | 
| EFFECTIVE DATE/TIME | 
- 
- 2007-01-08 00:00:00
 
- STATUS:    ACTIVE
 
- NPI:    1477509933
 
 
- 
- 2021-04-19 00:00:00
 
- STATUS:    INACTIVE
 
- NPI:    1477509933
 
 
 
 | 
| TAXONOMY CODE | 
 | 
| LOCATION TIMEZONE | 
PACIFIC | 
| COUNTRY | 
USA | 
| AGENCY CODE | 
VA | 
| POINTER TO AGENCY | 
VA | 
| STATION NUMBER | 
663GA | 
| IDENTIFIER | 
- 
- CODING SYSTEM:    NPI
 
- ID:    1477509933
 
 
- 
- CODING SYSTEM:    VASTANUM
 
- ID:    663GA
 
 
 
 |