| |
2781 S 242nd St Des Moines WA 98198-5166 | |
(206) 764-3335 | |
Not Available |
Full Name | |
---|---|
Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 2781 S 242nd St, Des Moines, Washington |
Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 2067883263 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | 2781 S 242nd St Des Moines WA 98198-5166 Ph: (206) 764-3335 |
NPI Number | 1679012488 |
---|---|
Provider Enumeration Date | 02/14/2017 |
Last Update Date | 02/14/2017 |
Identifier | Type | State | Issuer |
---|---|---|---|
1679012488 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (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 | |