NPI | 1548318868 |
---|---|
Former Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER |
Other Name | SEA MAR CHC VANCOUVER MEDICAL CLINIC - DELAWARE |
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 6005372781) |
Additional Taxonomies | 207Q00000X Family Medicine |
207R00000X Internal Medicine | |
207V00000X Obstetrics & Gynecology | |
363L00000X Nurse Practitioner | |
Enumeration Date | 2007-01-05 |
Last Update Date | 2025-02-26 |