NPI | 1326316142 |
---|---|
Other Name | SEA MAR CHC DES MOINES MEDICAL |
Former Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER |
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) (Licence: WA 600 537 278 1) |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0000X Family Medicine, Adolescent Medicine | |
207QA0401X Family Medicine, Addiction Medicine | |
207QA0505X Family Medicine, Adult Medicine | |
207QG0300X Family Medicine, Geriatric Medicine | |
207QS0010X Family Medicine, Sports Medicine | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
Enumeration Date | 2011-12-07 |
Last Update Date | 2025-02-26 |