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
669 WOODLAND SQUARE LOOP SE, LACEY, WA 98503-1038
(360) 359-4880
(360) 359-4881
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
6005372781
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
Primary
6005372781
WA
Other
Enumeration date
06/21/2011
Last updated
06/21/2011
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