Sea-mar Community Health Center | |
233 2nd Ave S Kent WA 98032-5852 | |
(206) 436-6380 | |
(206) 436-6368 |
Full Name | Sea-mar Community Health Center |
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Speciality | Clinic/Center |
Location | 233 2nd Ave S, Kent, Washington |
Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
Authorized Official Contact | 2067635277 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Sea-mar Community Health Center Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea-mar Community Health Center 233 2nd Ave S Kent WA 98032-5852 Ph: (206) 436-6380 |
NPI Number | 1417370735 |
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Provider Enumeration Date | 01/22/2014 |
Last Update Date | 06/15/2023 |
Medicare PECOS PAC ID | 7315831161 |
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Medicare Enrollment ID | O20170428001707 |
Identifier | Type | State | Issuer |
---|---|---|---|
1417370735 | NPI | - | NPPES |
2039338 | Medicaid | WA |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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