SEA-MAR COMMUNITY HEALTH CENTER NPI 1932648532

NPI Information

NPI: 1932648532
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER

Doing Business As: SEA MAR CHC LYNNWOOD MEDICAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA
ZIP 98036
Phone: (425) 616-4100
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SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Lynnwood, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1932648532. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sea Mar Chc Lynnwood Medical.

The provider's business location address is:

4111 ALDERWOOD MALL BLVD
LYNNWOOD, WA
ZIP 98036-765
Phone: (425) 616-4100
Fax: (425) 616-4115

The provider's authorized official is Mary Bartolo .
The authorized official title is Executive Vice President and has the following contact phone number (206) 788-3263.

The enumeration date for this NPI number is 2/15/2017 and was last updated on 9/13/2023.

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	Primary
1	174H00000X	Health Educator		No
2	363A00000X	Physician Assistant		No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	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	2194447	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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