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SEA-MAR COMMUNITY HEALTH CENTER NPI 1871961680


NPI Information

NPI: 1871961680
Provider Name: SEA-MAR COMMUNITY HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 50D2102774

Address:
6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA
ZIP 98661
Phone: (360) 566-4402
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SEA-MAR COMMUNITY HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Vancouver, WA. SEA-MAR COMMUNITY HEALTH CENTER NPI is 1871961680. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

6100 NE FOURTH PLAIN BLVD
VANCOUVER, WA
ZIP 98661-830
Phone: (360) 566-4402

The provider's authorized official is Mary Bartolo .
The authorized official title is Executive Vice President and has the following contact phone number (206) 788-3263.

The CLIA number assigned to this NPI record is 50D2102774 - community clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 9/10/2015 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
2207QA0000XFamily MedicineAdolescent MedicineNo
3207QA0505XFamily MedicineAdult MedicineNo
4207R00000XInternal MedicineNo
5363A00000XPhysician AssistantNo
6363L00000XNurse PractitionerNo
7363LA2200XNurse PractitionerAdult HealthNo
8363LF0000XNurse PractitionerFamilyNo
9363LP0200XNurse PractitionerPediatricsNo
10363LP0808XNurse PractitionerPsychiatric/Mental HealthNo
11363LW0102XNurse PractitionerWomen's HealthNo
12261QF0400XClinic/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.