NPI | 1801204078 |
---|---|
Former Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER |
Entity Type | Organization |
Authorized Contact | MARY BARTOLO Executive Director 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 6005372781) |
Additional Taxonomies | 207Q00000X Family Medicine |
207QA0505X Family Medicine, Adult Medicine | |
207QS0010X Family Medicine, Sports Medicine | |
207R00000X Internal Medicine | |
207RS0010X Internal Medicine, Sports Medicine | |
363A00000X Physician Assistant | |
363AM0700X Physician Assistant, Medical | |
363L00000X Nurse Practitioner | |
363LA2200X Nurse Practitioner, Adult Health | |
363LF0000X Nurse Practitioner, Family | |
363LP2300X Nurse Practitioner, Primary Care | |
Enumeration Date | 2014-07-31 |
Last Update Date | 2023-09-11 |