| NPI | 1801204078 |
|---|---|
| Other Name | SEA MAR CHC TILLICUM MEDICAL |
| 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 | 2025-02-26 |