NPI | 1497468201 |
---|---|
Doing Business As | SEA MAR CHC - VIRTUAL MEDICAL |
Entity Type | Organization |
Authorized Contact | STEPHANIE LYN FOX Credentialing Supervisor 253-681-6603 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2022-12-27 |
Last Update Date | 2022-12-27 |