| Sea-mar Community Health Center | |
|
17707 W Main St Fl 1 Monroe WA 98272-1967 | |
| (360) 282-3885 | |
| (360) 512-2026 |
| Full Name | Sea-mar Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 17707 W Main St Fl 1, Monroe, Washington |
| Authorized Official Name and Position | Mary Bartolo (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Contact | 2067635277 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sea-mar Community Health Center Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea-mar Community Health Center 17707 W Main St Fl 1 Monroe WA 98272-1967 Ph: (360) 282-3885 |
| NPI Number | 1508049008 |
|---|---|
| Provider Enumeration Date | 12/07/2007 |
| Last Update Date | 06/15/2023 |
| Medicare PECOS PAC ID | 7315831161 |
|---|---|
| Medicare Enrollment ID | O20080918000368 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508049008 | NPI | - | NPPES |
| 2000118 | Medicaid | WA | |
| 7144322 | Medicaid | WA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | 6 H80CS00445-05-03 (Washington) | Primary |
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