DataLabs
datalabs.health made in the usa
DataLabs Facebook Wall   Like   Follow DataLabs on Twitter   Tweet  
Contact us Sign in |  Documentation | 
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
1122300000XDentist
2261QF0400XFederally Qualified Health Center (FQHC)6005372781WA

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 : 1912055138
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 : 1412 NE 88TH ST
Second Line :
City : VANCOUVER
State : WA
Zip : 98665-9620
Country : US
Telephone Number : 360-574-4074
Fax Number : 360-574-9237
Authorized Official
Title or Position : DEPUTY DIRECTOR
Name : MARY BARTOLO
Credential :
Telephone Number : 206-788-3201
Provider Enumeration Date : 01/05/2007
Last Update Date : 01/31/2025

Similar Medicare Providers

1891871349 — MARILYN RODRIGUEZ-FERNANDINI DDS
Practice Location Address:
1412 NE 88TH ST
VANCOUVER, WA
98665-9620
Practice Phone: 360-574-4074
Practice Fax: 360-574-9237
1497832307 — CHRISTINE Y BARRY DDS
Practice Location Address:
1412 NE 88TH ST
VANCOUVER, WA
98665-9620
Practice Phone: 360-574-4074
Practice Fax: 360-574-4074
1538362256 — DR. TIM MICAH SUPIN D.M.D.
Practice Location Address:
1412 NE 88TH ST
VANCOUVER, WA
98665-9620
Practice Phone: 360-574-4074
Practice Fax:
1750545588 — JOHN STEPHEN KENNY DDS
Practice Location Address:
1412 NE 88TH ST
VANCOUVER, WA
98665-9620
Practice Phone: 360-574-4074
Practice Fax: 360-574-9237
1194131045 — MICHELLE GLENN
Practice Location Address:
1412 NE 88TH ST
VANCOUVER, WA
98665-9620
Practice Phone: 360-574-4074
Practice Fax: 360-574-9237
1568932630 — WASHINGTON PHYSICIANS EYECARE GROUP, P.C.
Practice Location Address:
7720 NE HIGHWAY 99
VANCOUVER, WA
98665-8858
Practice Phone: 360-326-0005
Practice Fax: 360-326-0064

Directions to “SEA MAR COMMUNITY HEALTH CENTERS ” Practice Location

Language Start Address Practice Location
These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.