Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (DEPUTY DIRECTOR)
(206) 788-3224
Entity
Organization
Contact information
Practice address
8915 14TH AVE S, 1ST FLOOR, SEATTLE, WA 98108-4813
(206) 762-0876
(206) 763-1856
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
132700000X
Dietary Manager
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
6005372781
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7401961
—
WA
Enumeration date
01/29/2007
Last updated
12/30/2019
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