NPI | 1104974419 |
---|---|
Doing Business As | SEA MAR COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MARY E BARTOLO Executive Vice President 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 600537278) |
Additional Taxonomies | 208000000X Pediatrics |
2080N0001X Pediatrics, Neonatal-Perinatal Medicine | |
2080P0203X Pediatrics, Pediatric Critical Care Medicine | |
208D00000X General Practice | |
207RI0200X Internal Medicine, Infectious Disease | |
207RS0012X Internal Medicine, Sleep Medicine | |
207Q00000X Family Medicine | |
207QA0401X Family Medicine, Addiction Medicine | |
207QS0010X Family Medicine, Sports Medicine | |
207R00000X Internal Medicine | |
363LF0000X Nurse Practitioner, Family | |
363A00000X Physician Assistant | |
363L00000X Nurse Practitioner | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2023-08-24 |