Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea-Mar Community Health Center, Sea Mar CHC Lakewood Dental
Organization subpart
No
Provider details
NPI number
Authorized official
STEPHANIE LYN FOX (CREDENTIALING SUPERVISOR)
(253) 681-6603
Entity
Organization
Contact information
Practice address
7424 BRIDGEPORT WAY W STE 202, LAKEWOOD, WA 98499-8134
(253) 581-2112
(253) 240-2102
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
—
2296285
—
WA
Enumeration date
11/28/2022
Last updated
01/31/2025
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