| Sea Mar Community Health Center | |
|
2502 E Fourth Plain Blvd Vancouver WA 98661-3965 | |
| (206) 763-5277 | |
| Not Available |
| Full Name | Sea Mar Community Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2502 E Fourth Plain Blvd, Vancouver, Washington |
| Authorized Official Name and Position | Stephanie Lyn Fox (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2536816603 |
| 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: () - | Sea Mar Community Health Center 2502 E Fourth Plain Blvd Vancouver WA 98661-3965 Ph: (206) 763-5277 |
| NPI Number | 1922735273 |
|---|---|
| Provider Enumeration Date | 08/05/2022 |
| Last Update Date | 08/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1922735273 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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