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SEA-MAR COMMUNITY HEALTH CENTER NPI 1083762355


NPI Information

NPI: 1083762355
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER

Doing Business As: SEA MAR COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
3030 LIMITED LN NW
OLYMPIA, WA
ZIP 98502
Phone: (360) 491-1399
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SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Olympia, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1083762355. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Sea Mar Community Health Center.

The provider's business location address is:

3030 LIMITED LN NW
OLYMPIA, WA
ZIP 98502-704
Phone: (360) 491-1399
Fax: (360) 704-2914

The provider's authorized official is Mary E 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 1/5/2007 and was last updated on 9/13/2023.


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:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1133N00000XNutritionistNo
2133NN1002XNutritionistNutrition, EducationNo
3207Q00000XFamily MedicineNo
4207QA0000XFamily MedicineAdolescent MedicineNo
5207R00000XInternal MedicineNo
6207RG0300XInternal MedicineGeriatric MedicineNo
7207RS0012XInternal MedicineSleep MedicineNo
8363L00000XNurse PractitionerNo
9363LC0200XNurse PractitionerCritical Care MedicineNo
10363LF0000XNurse PractitionerFamilyNo
11363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
12363LP2300XNurse PractitionerPrimary CareNo
13261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)600537278WASHINGTONYes

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
11002083MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.