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SEA-MAR COMMUNITY HEALTH CENTER NPI 1447308762


NPI Information

NPI: 1447308762
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER

Other Name: SEA MAR CHC BURIEN-PSSC/OSC DENTAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
18010 8TH AVE S STE 416
SEATAC, WA
ZIP 98148
Phone: (206) 812-2460
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SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Seatac, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1447308762. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Sea Mar Chc Burien-pssc/osc Dental.

The provider's business location address is:

18010 8TH AVE S STE 416
SEATAC, WA
ZIP 98148-908
Phone: (206) 812-2460
Fax: (206) 812-2455

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

The enumeration date for this NPI number is 1/5/2007 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
1122300000XDentistNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)6005372781WASHINGTONYes

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
11010655MEDICAIDWASHINGTON

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: 5/5/2024

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.