SEA-MAR COMMUNITY HEALTH CENTER NPI 1992362008

NPI Information

SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Puyallup, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1992362008. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

10217 125TH STREET CT E STE 300
PUYALLUP, WA
ZIP 98374-761
Phone: (253) 280-9836
Fax: (253) 280-9853

The provider's authorized official is Rachel Brianna Woodland .
The authorized official title is Credentialing Assistant and has the following contact phone number (253) 681-6601.

The CLIA number assigned to this NPI record is 50D1099342 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/23/2019 and was last updated on 8/10/2023.

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:

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