Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea-Mar Community Health Center, Sea Mar CHC Mt. Vernon Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (EXECUTIVE VICE PRESIDENT)
(206) 788-3224
Entity
Organization
Contact information
Practice address
1400 N LAVENTURE RD, MOUNT VERNON, WA 98273-2766
(360) 542-8901
(360) 542-8790
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0221X
Pediatric Dentistry
—
—
124Q00000X
Dental Hygienist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6005372781
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1012821
—
WA
Enumeration date
01/08/2007
Last updated
01/31/2025
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