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26401 Pacific Hwy S. Suite 201 Des Moines WA 98198 | |
(206) 870-3600 | |
(253) 839-1357 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 26401 Pacific Hwy S., Des Moines, Washington |
Authorized Official Name and Position | Duane Nakamura (CREDENTIALING) |
Authorized Official Contact | 4252771311 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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955 Powell Ave Sw Renton WA 98057-2908 Ph: (425) 277-1311 | 26401 Pacific Hwy S. Suite 201 Des Moines WA 98198 Ph: (206) 870-3600 |
NPI Number | 1477807261 |
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Provider Enumeration Date | 11/01/2012 |
Last Update Date | 10/02/2013 |
Identifier | Type | State | Issuer |
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1477807261 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 600461511 (Washington) | 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 | |