Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea-Mar Community Health Center, Sea Mar CHC Vancouver Dental - Salmon Creek, Sea-Mar CHC Salmon Creek Dental
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (DEPUTY DIRECTOR)
(206) 763-5277
Entity
Organization
Contact information
Practice address
14508 NE 20TH AVE STE 301, VANCOUVER, WA 98686-6418
(360) 558-5700
(360) 558-5705
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2134799
—
WA
Enumeration date
05/11/2017
Last updated
01/31/2025
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