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SEA-MAR COMMUNITY HEALTH CENTER NPI 1124289145


NPI Information

NPI: 1124289145
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER

Other Name: SEA MAR CHC BELLEVUE MSS

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
3801 150TH AVE SE
BELLEVUE, WA
ZIP 98006
Phone: (425) 460-7140
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SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Bellevue, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1124289145. The provider is registered as an organization entity type.
The provider Other Name Is Sea Mar Chc Bellevue Mss.

The provider's business location address is:

3801 150TH AVE SE
BELLEVUE, WA
ZIP 98006-668
Phone: (425) 460-7140
Fax: (425) 460-7161

The provider's authorized official is Mary Bartolo .
The authorized official title is Executive Vice President and has the following contact phone number (206) 763-5277.

The enumeration date for this NPI number is 6/23/2008 and was last updated on 3/4/2024.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QF0050XClinic/CenterFamily Planning, Non-Surgical600 537 278 1WASHINGTONNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)600 537 278 1WASHINGTONYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12004852MEDICAIDWASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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