SEA-MAR COMMUNITY HEALTH CENTER NPI 1003078114

NPI Information

NPI: 1003078114
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER

Other Name: SEA MAR CHC - ELMA MSS

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1510 W MAIN ST
ELMA, WA
ZIP 98541
Phone: (360) 861-8710
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SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Elma, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1003078114. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sea Mar Chc - Elma Mss.

The provider's business location address is:

1510 W MAIN ST
ELMA, WA
ZIP 98541-394
Phone: (360) 861-8710
Fax: (360) 861-8717

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 6/30/2008 and was last updated on 3/5/2024.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	104100000X	Social Worker				No
2	133V00000X	Dietitian, Registered				No
3	163W00000X	Registered Nurse				No
4	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	6005372781	WASHINGTON	No
5	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	6005372781	WASHINGTON	Yes
6	261QM1300X	Clinic/Center	Multi-Specialty			No

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2004866	MEDICAID	WASHINGTON

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

NPI Synchronization or Removal

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