SEA MAR COMMUNITY HEALTH CENTERS NPI 1699332122

NPI Information

NPI: 1699332122
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS
Classification: Clinic/Center - 261QF0400X
Specialization: Federally Qualified Health Center (FQHC)
Entity Type: Organization
:
Address: 1920 100TH ST SE STE B
EVERETT, WA
ZIP 98208
Phone: (425) 312-0204

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NPI Details

SEA MAR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Everett, WA. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1699332122. The provider is registered as an organization entity type and is a multi-specialty group.
The provider .

The provider's business location address is:

1920 100TH ST SE STE B
EVERETT, WA
ZIP 98208-832
Phone: (425) 312-0204
Fax: (425) 312-0263

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 5/21/2019 and was last updated on 1/31/2025.

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	104100000X	Social Worker		No
2	133V00000X	Dietitian, Registered		No
3	171M00000X	Case Manager/Care Coordinator		No
4	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	2143734	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: 3/30/2025

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