Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Other names
Sea Mar MT Vernon Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
JOLEE ANN ELIZABETH SANKEY (CREDENTIALING SUPERVISOR)
(206) 474-2001
Entity
Organization
Contact information
Practice address
2203 OLD HWY 99 S, MOUNT VERNON, WA 98273-9009
(360) 542-8810
(360) 542-8811
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(800) 549-2493
(206) 764-8094
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
03/02/2018
Last updated
03/02/2018
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