Provider Type Icon

SEA-MAR COMMUNITY HEALTH CENTER NPI 1457895740


NPI Information

NPI: 1457895740
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER

Other Name: SEA MAR CHC TACOMA 11TH ST MEDICAL

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1307 S 11TH ST
TACOMA, WA
ZIP 98405
Phone: (253) 682-2180
Get Directions

SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Tacoma, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1457895740. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sea Mar Chc Tacoma 11th St Medical.

The provider's business location address is:

1307 S 11TH ST
TACOMA, WA
ZIP 98405-644
Phone: (253) 682-2180
Fax: (253) 682-2181

The provider's authorized official is Mary Bartolo .
The authorized official title is Executive Vice President and has the following contact phone number (206) 764-3335.

The enumeration date for this NPI number is 12/6/2016 and was last updated on 8/23/2023.


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
1207Q00000XFamily MedicineNo
2207QA0505XFamily MedicineAdult MedicineNo
3207QG0300XFamily MedicineGeriatric MedicineNo
4207R00000XInternal MedicineNo
5207RS0010XInternal MedicineSports MedicineNo
6207V00000XObstetrics & GynecologyNo
7208000000XPediatricsNo
8208D00000XGeneral PracticeNo
9363A00000XPhysician AssistantNo
10363LA2200XNurse PractitionerAdult HealthNo
11363LF0000XNurse PractitionerFamilyNo
12363LP0200XNurse PractitionerPediatricsNo
13363LW0102XNurse PractitionerWomen's HealthNo
14363LX0001XNurse PractitionerObstetrics & GynecologyNo
15261QF0400XClinic/CenterFederally 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
12076698MEDICAIDWASHINGTON

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.