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NPI Code Detail

MEDICARE: SEA-MAR COMMUNITY HEALTH CENTER

MEDICARE: SEA-MAR COMMUNITY HEALTH CENTER
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261QF0050XNon-Surgical Family Planning Clinic/Center600537278WA
2261QF0400XFederally Qualified Health Center (FQHC)600537278WA

General Provider Information

NPI Number : 1386056000
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEA-MAR COMMUNITY HEALTH CENTER
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number : 206-764-3335
Fax Number :
Provider Business Practice Location Address
First Line : 233 2ND AVE S
Second Line :
City : KENT
State : WA
Zip : 98032-5852
Country : US
Telephone Number : 206-436-6380
Fax Number : 206-436-6385
Authorized Official
Title or Position : EXECUTIVE DIRECTOR
Name : ROGELIO RIOJAS
Credential :
Telephone Number : 206-788-3226
Provider Enumeration Date : 05/29/2014
Last Update Date : 05/29/2014

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Directions to “SEA-MAR COMMUNITY HEALTH CENTER ” Practice Location

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