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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
9710 STATE AVE, MARYSVILLE, WA 98270-2232
(360) 653-1742
(360) 653-2099
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
7407083
WA
Enumeration date
01/29/2007
Last updated
04/12/2010
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