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Organization

SEA MAR COMMUNITY HEALTH CENTERS

Active
Other names
Sea Mar CHC Elma Medical, 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
515 W MAIN ST, ELMA, WA 98541-9285
(360) 861-8700
(360) 861-8711
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489

Taxonomy

Speciality
Code
Description
License number
State
133V00000X
Registered Dietitian
174H00000X
Health Educator
207Q00000X
Family Medicine Physician
207QA0505X
Adult Medicine Physician
207QG0300X
Geriatric Medicine (Family Medicine) Physician
207QS0010X
Sports Medicine (Family Medicine) Physician
207R00000X
Internal Medicine Physician
207RI0200X
Infectious Disease Physician
207V00000X
Obstetrics & Gynecology Physician
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
363L00000X
Nurse Practitioner
363LA2200X
Adult Health Nurse Practitioner
363LF0000X
Family Nurse Practitioner
363LP0200X
Pediatric Nurse Practitioner
363LW0102X
Women's Health Nurse Practitioner

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2074564
WA
Enumeration date
10/15/2014
Last updated
02/26/2025
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