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SEA MAR COMMUNITY HEALTH CENTER NPI 1619534161


NPI Information

NPI: 1619534161
Provider Name: SEA MAR COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 50D1099344

Address:
905 24TH WAY SW STE B3
OLYMPIA, WA
ZIP 98502
Phone: (360) 742-5010
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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 1619534161. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

905 24TH WAY SW STE B3
OLYMPIA, WA
ZIP 98502-033
Phone: (360) 742-5010
Fax: (360) 528-3329

The provider's authorized official is Rachel Brianna Woodland .
The authorized official title is Credentialing Assistant and has the following contact phone number (253) 681-6601.

The CLIA number assigned to this NPI record is 50D1099344 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 5/21/2019 and was last updated on 8/10/2023.


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
1104100000XSocial WorkerNo
2133V00000XDietitian, RegisteredNo
3171M00000XCase Manager/Care CoordinatorNo
4261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes

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.