SEA MAR COMMUNITY HEALTH CENTER NPI 1063079598

NPI Information

NPI: 1063079598
Provider Name: SEA MAR COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 50D1099345

Address:
1813 SUMNER AVE
ABERDEEN, WA
ZIP 98520
Phone: (360) 861-8710
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SEA MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Aberdeen, WA. SEA MAR COMMUNITY HEALTH CENTER NPI is 1063079598. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1813 SUMNER AVE
ABERDEEN, WA
ZIP 98520-600
Phone: (360) 861-8710
Fax: (360) 861-8717

The provider's authorized official is Rachel Brianna Woodland .
The authorized official title is Credentialing Assistant and has the following contact phone number (253) 681-6601.

The CLIA number assigned to this NPI record is 50D1099345 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/21/2019 and was last updated on 5/22/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	133V00000X	Dietitian, Registered		No
2	171M00000X	Case Manager/Care Coordinator		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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