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22000 Marine View Dr S Suite 100 Des Moines WA 98198-6233 | |
(206) 870-4460 | |
(206) 870-4770 |
Full Name | |
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Speciality | Family Medicine |
Location | 22000 Marine View Dr S, Des Moines, Washington |
Authorized Official Name and Position | Vickie D Jimenez (DIRECTOR OF OPERATIONS) |
Authorized Official Contact | 2064394887 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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22000 Marine View Dr S Suite 100 Des Moines WA 98198-6233 Ph: (206) 870-4460 | 22000 Marine View Dr S Suite 100 Des Moines WA 98198-6233 Ph: (206) 870-4460 |
NPI Number | 1629329065 |
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Provider Enumeration Date | 09/25/2012 |
Last Update Date | 09/25/2012 |
Identifier | Type | State | Issuer |
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1629329065 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Sea Mar Community Health Centers Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2781 S 242nd St, Des Moines, WA 98198 Phone: 206-212-4500 Fax: 206-212-4515 | |
Sea-mar Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 24215 Pacific Hwy S, Des Moines, WA 98198 Phone: 206-878-7393 Fax: 206-870-7397 | |