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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
1333600000XPharmacy
23336C0002XClinic PharmacyFO00002041WA
33336C0003XCommunity/Retail Pharmacy

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
24915851OTHERNABP

General Provider Information

NPI Number : 1639237142
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEA MAR COMMUNITY HEALTH CENTERS
Provider Business Mailing Address
First Line : 1040 S HENDERSON ST
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4720
Country : US
Telephone Number : 206-788-3220
Fax Number : 206-788-3225
Provider Business Practice Location Address
First Line : 8720 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4807
Country : US
Telephone Number : 206-762-3397
Fax Number : 206-764-8362
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MARY BARTOLO
Credential :
Telephone Number : 206-763-5277
Provider Enumeration Date : 12/05/2006
Last Update Date : 06/26/2025

Similar Medicare Providers

1053245472 — MR. SAMUEL AARON EVANS TODAHL DNP, FNP-BC
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3730
Practice Fax:
1124768957 — DR. ANNE BOWERS MD
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3730
Practice Fax: 206-764-0523
1962588426 — SEA MAR COMMUNITY HEALTH CENTERS
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3730
Practice Fax: 206-764-0523
1861561003 — DR. JOHN NUTTING CRANMER DNP, MPH, APRN, FAAN
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3730
Practice Fax: 206-764-8000
1942358817 — SEA-MAR COMMUNITY HEALTH CENTER
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3730
Practice Fax: 206-764-5494
1669524856 — RALPH EDWIN MYER MD
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3730
Practice Fax: 206-764-5494

Directions to “SEA MAR COMMUNITY HEALTH CENTERS ” Practice Location

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