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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
2261QF0400XFederally Qualified Health Center (FQHC)

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 : 1417370735
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 : 233 2ND AVE S
Second Line :
City : KENT
State : WA
Zip : 98032-5852
Country : US
Telephone Number : 206-436-6380
Fax Number : 206-436-6368
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MARY BARTOLO
Credential :
Telephone Number : 206-763-5277
Provider Enumeration Date : 01/22/2014
Last Update Date : 02/26/2025

Similar Medicare Providers

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Practice Location Address:
233 2ND AVE S
KENT, WA
98032-5852
Practice Phone: 206-436-6380
Practice Fax: 206-436-6368
1003964271 — MRS. JULIETTE EILEEN POHL-Y-BACA PHYCIAN ASST. -CERT
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1952620155 — SYED ADNAN MUSTAFA MD
Practice Location Address:
233 2ND AVE S
KENT, WA
98032-5852
Practice Phone: 206-436-6380
Practice Fax: 206-436-6385
1699087098 — DR. DIVYA PARIHAR M.D
Practice Location Address:
233 2ND AVE S
KENT, WA
98032-5852
Practice Phone: 206-436-6380
Practice Fax: 206-436-6368
1053666503 — VALERIE MICHELE WHITE NP
Practice Location Address:
233 2ND AVE S
KENT, WA
98032-5852
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1386056000 — SEA-MAR COMMUNITY HEALTH CENTER
Practice Location Address:
233 2ND AVE S
KENT, WA
98032-5852
Practice Phone: 206-436-6380
Practice Fax: 206-436-6385

Directions to “SEA MAR COMMUNITY HEALTH CENTERS ” Practice Location

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