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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
1207Q00000XFamily Medicine Physician
2207QA0000XAdolescent Medicine (Family Medicine) Physician
3207QA0401XAddiction Medicine (Family Medicine) Physician
4207QA0505XAdult Medicine Physician
5207QG0300XGeriatric Medicine (Family Medicine) Physician
6207QS0010XSports Medicine (Family Medicine) Physician
7363A00000XPhysician Assistant
8363AM0700XMedical Physician Assistant
9261QF0400XFederally Qualified Health Center (FQHC)600 537 278 1WA

Other Identifiers

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

General Provider Information

NPI Number : 1326316142
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 : 2781 S 242ND ST
Second Line :
City : DES MOINES
State : WA
Zip : 98198-5166
Country : US
Telephone Number : 206-212-4500
Fax Number : 206-212-4515
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MARY BARTOLO
Credential :
Telephone Number : 206-763-5277
Provider Enumeration Date : 12/07/2011
Last Update Date : 02/26/2025

Similar Medicare Providers

1932481520 — RAMYA SATHISH
Practice Location Address:
2781 S 242ND ST
DES MOINES, WA
98198-5166
Practice Phone: 718-687-6707
Practice Fax:
1558778316 — DR. ABRAHAM SI-VIET LE D.D.S.
Practice Location Address:
2781 S 242ND ST
DES MOINES, WA
98198-5166
Practice Phone: 206-957-9040
Practice Fax: 206-212-4525
1528432010 — SEA MAR COMMUNITY HEALTH CENTERS
Practice Location Address:
2781 S 242ND ST
DES MOINES, WA
98198-5166
Practice Phone: 206-957-9040
Practice Fax: 206-212-4525
1982067674 — ASSIATU BARRIE BAH MD
Practice Location Address:
2781 S 242ND ST
DES MOINES, WA
98198-5166
Practice Phone: 469-951-2125
Practice Fax: 206-212-4515
1750737193 — SEA MAR COMMUNITY HEALTH CENTERS
Practice Location Address:
2781 S 242ND ST
DES MOINES, WA
98198-5166
Practice Phone: 206-212-4530
Practice Fax: 206-212-4535
1306295514 — LAURA J LENZI 60521601
Practice Location Address:
2781 S 242ND ST
DES MOINES, WA
98198-5166
Practice Phone: 206-226-5672
Practice Fax:

Directions to “SEA MAR COMMUNITY HEALTH CENTERS ” Practice Location

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