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NPI Code Detail

MEDICARE: SEA MAR COMMUNITY HEALTH CENTERS

MEDICARE: SEA MAR COMMUNITY HEALTH CENTERS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1133N00000XNutritionist
2133V00000XRegistered Dietitian
3207Q00000XFamily Medicine Physician
4207QA0401XAddiction Medicine (Family Medicine) Physician
5207V00000XObstetrics & Gynecology Physician
6207VE0102XReproductive Endocrinology Physician
7207VM0101XMaternal & Fetal Medicine Physician
8363A00000XPhysician Assistant
9363L00000XNurse Practitioner
10363LF0000XFamily Nurse Practitioner
11363LP0200XPediatric Nurse Practitioner
12363LP0808XPsychiatric/Mental Health Nurse Practitioner
13367A00000XAdvanced Practice Midwife
14261QF0400XFederally Qualified Health Center (FQHC)600537278WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1528115870
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEA MAR COMMUNITY HEALTH CENTERS
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1400 N LAVENTURE RD
Second Line :
City : MOUNT VERNON
State : WA
Zip : 98273-2766
Country : US
Telephone Number : 360-542-8900
Fax Number : 360-542-8796
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MARY E BARTOLO
Credential :
Telephone Number : 206-763-5277
Provider Enumeration Date : 01/05/2007
Last Update Date : 02/26/2025

Similar Medicare Providers

1831924794 — PAIGE LEIGH HAUTER PA
Practice Location Address:
1400 N LAVENTURE RD
MOUNT VERNON, WA
98273-2766
Practice Phone: 605-428-9003
Practice Fax: 360-542-8296
1891871596 — ANNE MARIE WELLS RDH
Practice Location Address:
1400 N LAVENTURE RD
MOUNT VERNON, WA
98273-2766
Practice Phone: 360-428-4075
Practice Fax: 360-428-5813
1538217500 — SEA MAR COMMUNITY HEALTH CENTERS
Practice Location Address:
1400 N LAVENTURE RD
MOUNT VERNON, WA
98273-2766
Practice Phone: 360-542-8901
Practice Fax: 360-542-8790
1336291830 — DIANE M KAPLAN MD
Practice Location Address:
1400 N LAVENTURE RD
MOUNT VERNON, WA
98273-2766
Practice Phone: 360-542-8900
Practice Fax: 360-542-8796
1144372632 — BEN M WINKES MD
Practice Location Address:
1400 N LAVENTURE RD
MOUNT VERNON, WA
98273-2766
Practice Phone: 360-542-8900
Practice Fax: 360-542-8796
1538211016 — ELLEN M RAK MD
Practice Location Address:
1400 N LAVENTURE RD
MOUNT VERNON, WA
98273-2766
Practice Phone: 605-428-9003
Practice Fax: 360-542-8796

Directions to “SEA MAR COMMUNITY HEALTH CENTERS ” Practice Location

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