Provider Type Icon

SEA-MAR COMMUNITY HEALTH CENTER NPI 1790185759


NPI Information

NPI: 1790185759
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER

Former Legal Business Name: SEA-MAR COMMUNITY HEALTH CENTER

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

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 50D0634359

Address:
7438 S D AVE STE A
CONCRETE, WA
ZIP 98237
Phone: (360) 853-8183
Get Directions

SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Concrete, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1790185759. The provider is registered as an organization entity type.
The provider Former Legal Business Name Is Sea-mar Community Health Center.

The provider's business location address is:

7438 S D AVE STE A
CONCRETE, WA
ZIP 98237-642
Phone: (360) 853-8183
Fax: (360) 853-7211

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 50D0634359 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/27/2014 and was last updated on 6/15/2023.


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
1261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
2207Q00000XFamily MedicineNo
3261QF0400XClinic/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.