Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea-Mar Community Health Center, Sea Mar CHC Tacoma Medical - Cushman
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E BARTOLO (EXECUTIVE VICE PRESIDENT)
(206) 763-5277
Entity
Organization
Contact information
Practice address
1112 S CUSHMAN AVE, TACOMA, WA 98405-3631
(253) 593-2144
(253) 246-6725
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
207QA0401X
Addiction Medicine (Family Medicine) Physician
—
—
207QS0010X
Sports Medicine (Family Medicine) Physician
—
—
207R00000X
Internal Medicine Physician
—
—
207RI0200X
Infectious Disease Physician
—
—
207RS0012X
Sleep Medicine (Internal Medicine) Physician
—
—
208000000X
Pediatrics Physician
—
—
2080N0001X
Neonatal-Perinatal Medicine Physician
—
—
2080P0203X
Pediatric Critical Care Medicine Physician
—
—
208D00000X
General Practice Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600537278
WA
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LP2300X
Primary Care Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1002613
—
WA
Enumeration date
01/05/2007
Last updated
02/26/2025
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