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SEA-MAR COMMUNITY HEALTH CENTER NPI 1801182670


NPI Information

NPI: 1801182670
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 50D2008663

Address:
669 WOODLAND SQUARE LOOP SE
LACEY, WA
ZIP 98503
Phone: (360) 359-4880
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SEA-MAR COMMUNITY HEALTH CENTER is a mental health (including community mental health center) clinic center in Lacey, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1801182670. The provider is registered as an organization entity type.

The provider's business location address is:

669 WOODLAND SQUARE LOOP SE
LACEY, WA
ZIP 98503-038
Phone: (360) 359-4880
Fax: (360) 359-4881

The provider's authorized official is Mary Bartolo .
The authorized official title is Deputy Director and has the following contact phone number (206) 788-3224.

The CLIA number assigned to this NPI record is 50D2008663 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/21/2011 and was last updated on 6/21/2011.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)6005372781WASHINGTONNo
2261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)6005372781WASHINGTONYes

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

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