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NPI Code Detail

MEDICARE: SEA MAR COMMUNITY HEALTH CENTERS

MEDICARE: SEA MAR COMMUNITY HEALTH CENTERS
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
1251B00000XCase Management Agency
2261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
3261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center600 537 278 1WA
4261QF0400XFederally Qualified Health Center (FQHC)600 537 278 1WA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1538320569
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEA MAR COMMUNITY HEALTH CENTERS
Provider Business Mailing Address
First Line : PO BOX 34703
Second Line :
City : SEATTLE
State : WA
Zip : 98124-1703
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 8801 14TH AVE S
Second Line :
City : SEATTLE
State : WA
Zip : 98108-4809
Country : US
Telephone Number : 206-766-6976
Fax Number : 206-766-6993
Authorized Official
Title or Position : CEO
Name : ROGELIO RIOJAS
Credential :
Telephone Number : 206-763-5277
Provider Enumeration Date : 06/23/2008
Last Update Date : 01/31/2025

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1619422193 — NICOLE PERIGARD RD
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Directions to “SEA MAR COMMUNITY HEALTH CENTERS ” Practice Location

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