Sea-Mar Community Health Center

LBN: Sea-Mar Community Health Center
Sea-Mar Community Health Center is an health care organization with primary practice located at 1412 Ne 88Th St , Vancouver WA 98665-9620. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Dentist, Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty. Sea-Mar Community Health Center can be contacted via phone (360) 574-4074, or through Bartolo, Mary via phone (206) 788-3201.

Contact Information

Primary practice address
1412 Ne 88Th St Vancouver WA 98665-9620
Fax: (360) 574-9237
Website:
Authorized official contact:
Name: Bartolo, Mary

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dentist 122300000X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 6005372781 Washington

Profile Details

NPI number 1912055138
LBN Legal business name Sea-Mar Community Health Center
DBA Doing business as
Authorized official Bartolo, Mary
Entity Organization
Organization subpart 1 No
Enumeration date Jan 5th, 2007
Last updated Feb 3rd, 2011 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1912055138 NPPES
Washington MEDICAID 5033188

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