| Sea-mar Community Center | |
|
4111 Alderwood Mall Blvd Lynnwood WA 98036-6765 | |
| (425) 616-4100 | |
| (425) 616-4115 |
| Full Name | Sea-mar Community Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 4111 Alderwood Mall Blvd, Lynnwood, Washington |
| Authorized Official Name and Position | Letriana Santiago (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2067640526 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea-mar Community Center Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea-mar Community Center 4111 Alderwood Mall Blvd Lynnwood WA 98036-6765 Ph: (425) 616-4100 |
| NPI Number | 1790357234 |
|---|---|
| Provider Enumeration Date | 07/14/2021 |
| Last Update Date | 07/14/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790357234 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| 261QM2500X | Clinic/center - Medical Specialty | (* (Not Available)) | Secondary |
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