| Sea Mar Chc - Elma Mss | |
|
1510 W Main St Elma WA 98541-9394 | |
| (360) 861-8710 | |
| (360) 861-8717 |
| Full Name | Sea Mar Chc - Elma Mss |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1510 W Main St, Elma, Washington |
| Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2067635277 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea Mar Chc - Elma Mss Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea Mar Chc - Elma Mss 1510 W Main St Elma WA 98541-9394 Ph: (360) 861-8710 |
| NPI Number | 1003078114 |
|---|---|
| Provider Enumeration Date | 06/30/2008 |
| Last Update Date | 03/05/2024 |
| Certification Date | 03/05/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003078114 | NPI | - | NPPES |
| 2004866 | Medicaid | WA |
Headspace Parking Lot Pllc Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 76 Sund Rd, Elma, WA 98541 Phone: 360-929-0022 | |
Behavioral Health Resources Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 525 E Main Street, Elma, WA 98541 Phone: 360-482-5358 Fax: 360-482-6256 |