SEA MAR COMMUNITY HEALTH CENTERS - NPI 1104974419

Q: What is the provider's specialty?

The provider's specialty is Clinic/Center with taxonomy code 261QF0400X and a focus in Federally Qualified Health Center (FQHC).

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About Sea Mar Community Health Centers NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

SEA MAR COMMUNITY HEALTH CENTERS (NPI 1104974419), doing business as Sea-mar Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Tacoma, Washington and active in the NPI registry since January 2007. The organization lists Mary E Bartolo, Executive Vice President, as its authorized official.

NPPES Registry Identity

NPI1104974419

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameSEA MAR COMMUNITY HEALTH CENTERS

Location Address1112 S CUSHMAN AVETacoma, WA 98405-3631

Mailing AddressPo Box 34703Seattle, WA 98124-1703

Phone(253) 593-2144

Fax(253) 246-6725

Organization SubpartNo

Authorized OfficialMary E BartoloExecutive Vice President · (206) 763-5277

Enumeration DateJanuary 5, 2007

Last NPPES UpdateFebruary 26, 20256 updates tracked since enumeration

NPPES CertifiedFebruary 26, 2025

✔ NPI 1104974419 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 15

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

License✔ Licensed in WA · 600537278

Also ListedFamily MedicineTaxonomy 207Q00000X

Also ListedFamily Medicine · Addiction MedicineTaxonomy 207QA0401X

Also ListedFamily Medicine · Sports MedicineTaxonomy 207QS0010X

Also ListedInternal MedicineTaxonomy 207R00000X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedInternal Medicine · Sleep MedicineTaxonomy 207RS0012X

Also ListedPediatricsTaxonomy 208000000X

Also ListedPediatrics · Neonatal-Perinatal MedicineTaxonomy 2080N0001X

Also ListedPediatrics · Pediatric Critical Care MedicineTaxonomy 2080P0203X

Also ListedGeneral PracticeTaxonomy 208D00000X

Also ListedPhysician AssistantTaxonomy 363A00000X

Also ListedNurse PractitionerTaxonomy 363L00000X

Also ListedNurse Practitioner · FamilyTaxonomy 363LF0000X

Also ListedNurse Practitioner · Primary CareTaxonomy 363LP2300X

1112 S CUSHMAN AVE, Tacoma, WA 98405

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Other Names 2

Former Legal Business NameSea-mar Community Health Center

Other NameSea Mar Chc Tacoma Medical - Cushman

Other Identifiers 1

Medicaid1002613WA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Premera Blue Cross Blue Shield of Alaska.Insurance ›

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. JANITZIA SCHURCH DIAZ MD

Internal Medicine