Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (DEPUTY DIRECTOR)
(206) 788-3224
Entity
Organization
Contact information
Practice address
2781 S 242ND ST, DES MOINES, WA 98198-5166
(206) 212-4500
(206) 212-4515
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
11/14/2016
Last updated
11/14/2016
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