Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (DEPUTY DIRECTOR)
(206) 788-3224
Entity
Organization
Contact information
Practice address
119 E FAIRHAVEN AVE, BURLINGTON, WA 98233-1701
(360) 755-9151
(360) 755-1441
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6005372781
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5024476
—
WA
Enumeration date
01/05/2007
Last updated
04/13/2010
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