| NPI | 1144780008 |
|---|---|
| Other Name | SEA MAR CHC SEATTLE ADOLESCENT MEDICAL CLINIC |
| Former Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Entity Type | Organization |
| Authorized Contact | JOLEE ANN ELIZABETH SANKEY Credentialing Supervisor 206-474-2001 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 207Q00000X Family Medicine |
| 207QA0000X Family Medicine, Adolescent Medicine | |
| 207QA0505X Family Medicine, Adult Medicine | |
| 207QG0300X Family Medicine, Geriatric Medicine | |
| 208000000X Pediatrics | |
| 261QR0405X Clinic/Center, Rehabilitation, Substance Use Disorder | |
| 363A00000X Physician Assistant | |
| 363L00000X Nurse Practitioner | |
| 363LF0000X Nurse Practitioner, Family | |
| Enumeration Date | 2019-03-25 |
| Last Update Date | 2025-02-26 |