| Sea-mar Community Health Center | |
|
3622 Ensign Rd Ne Olympia WA 98506-5081 | |
| (360) 570-8016 | |
| (360) 570-8275 |
| Full Name | Sea-mar Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 3622 Ensign Rd Ne, Olympia, Washington |
| Authorized Official Name and Position | Jolee Ann Elizabeth Sankey (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2064742001 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea-mar Community Health Center Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | Sea-mar Community Health Center 3622 Ensign Rd Ne Olympia WA 98506-5081 Ph: (360) 570-8016 |
| NPI Number | 1487702601 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 01/29/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1487702601 | NPI | - | NPPES |
| 5035688 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6005372781 (Washington) | Primary |
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