Active NPI
Sea Mar Community Health Center
- Federally Qualified Health Center (FQHC)
- Tacoma, WA
National Provider Identifier
1306403415
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SEA MAR COMMUNITY HEALTH CENTER
- Practice address
- 1516 S 11TH St
Tacoma, WA 98405-3332 - Phone
- (253) 280-9836
- Fax
- (253) 280-9853
- NPI assigned
- May 23, 2019
- Last updated
- May 2, 2024
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mary Bartolo
- Title
- Executive Vice President
- Phone
- (206) 763-5277
Specialties & licenses 5
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | NU | ||
| Registered Dietitian | 133V00000X | NU | ||
| Registered Nurse | 163W00000X | NU | ||
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary | |
| Case Manager/Care Coordinator | 171M00000X | NU |
Addresses
Primary practice location
1516 S 11TH St
Tacoma, WA 98405-3332
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Phone (253) 681-6601
National Provider Directory
National Provider Directory- Tax ID family
- Sea Mar Marysville Medi
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Lynnwood, WA
- NPI 1295307569
-
- Federally Qualified Health Center (FQHC)
- Auburn, WA
- NPI 1265150759
-
- Community/Retail Pharmacy
- Lynnwood, WA
- NPI 1265180129
-
- Federally Qualified Health Center (FQHC)
- Seattle, WA
- NPI 1265950521
-
- Federally Qualified Health Center (FQHC)
- Lynnwood, WA
- NPI 1275145682
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1285783480
-
dba Sea Mar CHC Lynnwood MSS
- Federally Qualified Health Center (FQHC)
- Lynnwood, WA
- NPI 1295274892
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Lynnwood, WA
- NPI 1295690691
-
- Federally Qualified Health Center (FQHC)
- Bellevue, WA
- NPI 1306488226
-
- Federally Qualified Health Center (FQHC)
- Aberdeen, WA
- NPI 1306982608
-
- Federally Qualified Health Center (FQHC)
- Monroe, WA
- NPI 1316095003
-
- Federally Qualified Health Center (FQHC)
- Mount Vernon, WA
- NPI 1316130768
Practitioners & affiliated clinicians
Practitioners 5
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Community Health Registered Nurse
- Tacoma, WA
- NPI 1710498647
-
- Registered Nurse
- Tacoma, WA
- NPI 1841951837
-
- Mental Health Counselor
- Seattle, WA
- NPI 1730467416
-
- Women's Health Nurse Practitioner
- Hagerstown, MD
- NPI 1255979423
Registered Nurse
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1558569600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1714608000000",
"number": "1306403415",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703",
"telephone_number": "253-681-6601",
"fax_number": "253-681-6641"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1516 S 11TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984053332",
"telephone_number": "253-280-9836",
"fax_number": "253-280-9853"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA MAR COMMUNITY HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-23",
"last_updated": "2024-05-02",
"certification_date": "2024-05-02",
"status": "A",
"authorized_official_last_name": "BARTOLO",
"authorized_official_first_name": "MARY",
"authorized_official_title_or_position": "EXECUTIVE VICE PRESIDENT",
"authorized_official_telephone_number": "206-763-5277"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "133V00000X",
"taxonomy_group": "",
"desc": "Dietitian, Registered",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "163W00000X",
"taxonomy_group": "",
"desc": "Registered Nurse",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
},
{
"code": "171M00000X",
"taxonomy_group": "",
"desc": "Case Manager/Care Coordinator",
"state": "NU",
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Tacoma, WA
- Sara Catherine Scranton, M.D.
- Alicia Nicole Scribner, M.D.
- Tanna A Scriven, LMP
- Mathias Scully, MD
- SE Won an, DDS, PLLC (Solutions Dental)
- Sea Mar Community Health Center
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.