Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea-Mar Community Health Center, Sea Mar CHC Olympia Dental (Formerly Tumwater Dental)
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (EXECUTIVE VICE PRESIDENT)
(206) 763-5277
Entity
Organization
Contact information
Practice address
3622 ENSIGN RD NE, OLYMPIA, WA 98506-5081
(360) 570-8016
(360) 570-8275
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
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
—
1011597
—
WA
Enumeration date
01/05/2007
Last updated
01/31/2025
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