Sea Mar Chc-vashon Island | |
10030 Sw 210th St Vashon WA 98070-6584 | |
(206) 463-3671 | |
(206) 463-3613 |
Full Name | Sea Mar Chc-vashon Island |
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Speciality | Clinic/Center |
Location | 10030 Sw 210th St, Vashon, Washington |
Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 2067635277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Sea Mar Chc-vashon Island Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea Mar Chc-vashon Island 10030 Sw 210th St Vashon WA 98070-6584 Ph: (206) 463-3671 |
NPI Number | 1760080154 |
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Provider Enumeration Date | 10/16/2020 |
Last Update Date | 08/08/2023 |
Certification Date | 08/08/2023 |
Medicare PECOS PAC ID | 7315831161 |
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Medicare Enrollment ID | O20201111002840 |
Identifier | Type | State | Issuer |
---|---|---|---|
1760080154 | NPI | - | NPPES |
2165780 | Medicaid | WA |
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