Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Other names
Sea Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
MARY E BARTOLO (DEPUTY DIRECTOR)
(206) 763-5277
Entity
Organization
Contact information
Practice address
110 N LAVENTURE RD, SUITE D, MOUNT VERNON, WA 98273-3901
(360) 424-5344
(360) 424-7850
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600537278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7034184
—
WA
Enumeration date
01/08/2007
Last updated
03/12/2010
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