NPI | 1124531538 |
---|---|
Other Name | SEA-MAR COMMUNITY HEATH CENTER LAKEWOOD MSS |
Entity Type | Organization |
Authorized Contact | JOLEE ANN ELIZABETH SANKEY Provider Enrollment Specialist 206-474-2001 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Additional Taxonomies | 261QF0050X Clinic/Center, Family Planning, Non-Surgical |
Enumeration Date | 2017-11-07 |
Last Update Date | 2017-11-07 |