| Sea Mar Chc Tacoma 11th St Medical | |
|
1307 S 11th St Tacoma WA 98405-3644 | |
| (253) 682-2180 | |
| (253) 682-2181 |
| Full Name | Sea Mar Chc Tacoma 11th St Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 1307 S 11th St, Tacoma, Washington |
| Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2067643335 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Mar Chc Tacoma 11th St Medical Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea Mar Chc Tacoma 11th St Medical 1307 S 11th St Tacoma WA 98405-3644 Ph: (253) 682-2180 |
| NPI Number | 1457895740 |
|---|---|
| Provider Enumeration Date | 12/06/2016 |
| Last Update Date | 08/23/2023 |
| Medicare PECOS PAC ID | 7315831161 |
|---|---|
| Medicare Enrollment ID | O20170609001820 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1457895740 | NPI | - | NPPES |
| 2076698 | Medicaid | WA |
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