| Sea Mar Chc Burien-pssc/osc Dental | |
|
18010 8th Ave S Ste 416 Seatac WA 98148-1908 | |
| (206) 812-2460 | |
| (206) 812-2455 |
| Full Name | Sea Mar Chc Burien-pssc/osc Dental |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 18010 8th Ave S Ste 416, Seatac, Washington |
| Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2067883224 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Mar Chc Burien-pssc/osc Dental Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea Mar Chc Burien-pssc/osc Dental 18010 8th Ave S Ste 416 Seatac WA 98148-1908 Ph: (206) 812-2460 |
| NPI Number | 1447308762 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1447308762 | NPI | - | NPPES |
| 1010655 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6005372781 (Washington) | Primary |