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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)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 : 1962588426
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 : 8720 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4807
Country : US
Telephone Number : 206-762-3730
Fax Number : 206-764-0523
Authorized Official
Title or Position : EXECUTIVE VICE PRESIDENT
Name : MARY E BARTOLO
Credential :
Telephone Number : 206-763-5277
Provider Enumeration Date : 10/27/2006
Last Update Date : 02/26/2025

Similar Medicare Providers

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
1639237142 — SEA MAR COMMUNITY HEALTH CENTERS
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3397
Practice Fax: 206-764-8362
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
1740333038 — RAMOS RICARDO JIMENEZ MD
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3730
Practice Fax: 206-764-0523
1275686552 — PHILIP ANDREW REILLY MD
Practice Location Address:
8720 14TH AVE S
SEATTLE, WA
98108-4807
Practice Phone: 206-762-3730
Practice Fax: 206-764-0523

Directions to “SEA MAR COMMUNITY HEALTH CENTERS ” Practice Location

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