SEA MAR COMMUNITY HEALTH CENTERS NPI 1407398084

NPI Information

NPI: 1407398084
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
2781 S 242ND ST
DES MOINES, WA
ZIP 98198
Phone: (206) 212-4500
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SEA MAR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Des Moines, WA. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1407398084. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

2781 S 242ND ST
DES MOINES, WA
ZIP 98198-166
Phone: (206) 212-4500
Fax: (206) 212-4515

The provider's authorized official is Mary Bartolo .
The authorized official title is Deputy Director and has the following contact phone number (206) 788-3224.

The enumeration date for this NPI number is 11/14/2016 and was last updated on 8/14/2017.

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	Primary
1	171M00000X	Case Manager/Care Coordinator		No
2	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes

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	1008573	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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