Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea-Mar Community Health Dental BattleGround, Sea-Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY BARTOLO (EXECUTIVE VICE PRESIDENT)
(206) 763-5277
Entity
Organization
Contact information
Practice address
118 S PARKWAY AVE, BATTLE GROUND, WA 98604-9215
(360) 342-8050
(360) 342-8045
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 474-2001
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QD0000X
Dental Clinic/Center
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150135
—
WA
Enumeration date
09/06/2017
Last updated
01/31/2025
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