SEA-MAR COMMUNITY HEALTH CENTER NPI 1548318868

NPI Information

SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Vancouver, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1548318868. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sea Mar Chc - Vancouver Medical Clinic Delaware.

The provider's business location address is:

7410 DELAWARE LN
VANCOUVER, WA
ZIP 98664-408
Phone: (360) 566-4402
Fax: (360) 566-4406

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 CLIA number assigned to this NPI record is 50D1099347 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 1/5/2007 and was last updated on 2/21/2024.

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:

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

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