SEA-MAR COMMUNITY HEALTH CENTER NPI 1326316142

NPI Information

NPI: 1326316142
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER

Doing Business As: SEA MAR COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2781 S 242ND ST
DES MOINES, WA
ZIP 98198
Phone: (206) 212-4500
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SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Des Moines, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1326316142. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sea Mar Community Health Center.

The provider's business location address is:

2781 S 242ND ST
DES MOINES, WA
ZIP 98198-166
Phone: (206) 212-4500
Fax: (206) 212-4515

The provider's authorized official is Mary Bartolo .
The authorized official title is Executive Vice President and has the following contact phone number (206) 763-5277.

The enumeration date for this NPI number is 12/7/2011 and was last updated on 8/24/2023.

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	License Number	License State	Primary
1	363AM0700X	Physician Assistant	Medical			No
2	207Q00000X	Family Medicine				No
3	207QS0010X	Family Medicine	Sports Medicine			No
4	363A00000X	Physician Assistant				No
5	207QA0000X	Family Medicine	Adolescent Medicine			No
6	207QA0401X	Family Medicine	Addiction Medicine			No
7	207QA0505X	Family Medicine	Adult Medicine			No
8	207QG0300X	Family Medicine	Geriatric Medicine			No
9	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	600 537 278 1	WASHINGTON	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2016474	MEDICAID	WASHINGTON

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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