| Sea Mar Chc Auburn Mountainview High School Medical | |
|
28900 124th Ave Se Auburn WA 98092-3101 | |
| (532) 942-1202 | |
| (253) 294-2122 |
| Full Name | Sea Mar Chc Auburn Mountainview High School Medical |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 28900 124th Ave Se, Auburn, Washington |
| Authorized Official Name and Position | Stephanie L Fox (CREDENTIALING SUPERVISOR) |
| Authorized Official Contact | 2536816603 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Mar Chc Auburn Mountainview High School Medical Po Box 34703 Seattle WA 98124-1703 Ph: (253) 681-6603 | Sea Mar Chc Auburn Mountainview High School Medical 28900 124th Ave Se Auburn WA 98092-3101 Ph: (532) 942-1202 |
| NPI Number | 1053034652 |
|---|---|
| Provider Enumeration Date | 09/20/2022 |
| Last Update Date | 06/26/2023 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053034652 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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