Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Other names
Nativity House
Organization subpart
No
Provider details
NPI number
Authorized official
JOLEE ANN ELIZABETH SANKEY (CREDENTIALING & ENROLLMENT SPVSR)
(206) 474-2001
Entity
Organization
Contact information
Practice address
702 S 14TH ST, TACOMA, WA 98405-4407
(253) 682-2180
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(800) 549-2493
(206) 764-8094
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM1300X
Multi-Specialty Clinic/Center
—
—
261QM2500X
Medical Specialty Clinic/Center
—
—
Other
Enumeration date
04/09/2018
Last updated
04/09/2018
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