| Sea Mar Chc - Vancouver Medical Clinic Delaware | |
|
7410 Delaware Ln Vancouver WA 98664-1408 | |
| (360) 566-4402 | |
| (360) 566-4406 |
| Full Name | Sea Mar Chc - Vancouver Medical Clinic Delaware |
|---|---|
| Speciality | Clinic/Center |
| Location | 7410 Delaware Ln, Vancouver, 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 Chc - Vancouver Medical Clinic Delaware Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea Mar Chc - Vancouver Medical Clinic Delaware 7410 Delaware Ln Vancouver WA 98664-1408 Ph: (360) 566-4402 |
| NPI Number | 1548318868 |
|---|---|
| Provider Enumeration Date | 01/05/2007 |
| Last Update Date | 02/21/2024 |
| Medicare PECOS PAC ID | 7315831161 |
|---|---|
| Medicare Enrollment ID | O20040618000549 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548318868 | NPI | - | NPPES |
| 1013043 | Medicaid | WA |
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