| NPI | 1245876580 |
|---|---|
| Former Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Other Name | SEA MAR CHC VANCOUVER DENTAL - FOURTH PLAIN |
| Entity Type | Organization |
| Authorized Contact | MARY BARTOLO Executive Vice President 206-763-5277 |
| Organization Subpart ? | No |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 122300000X Dentist |
| 261QD0000X Clinic/Center, Dental | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2025-01-31 |