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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
1261QR0405XSubstance Use Disorder Rehabilitation Clinic/Center
2261QF0400XFederally Qualified Health Center (FQHC)

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 : 1598948093
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 : 4111 ALDERWOOD MALL BLVD
Second Line :
City : LYNNWOOD
State : WA
Zip : 98036-6765
Country : US
Telephone Number : 425-977-2560
Fax Number : 425-977-2562
Authorized Official
Title or Position : CEO
Name : ROGELIO RIOJAS
Credential :
Telephone Number : 206-763-5277
Provider Enumeration Date : 12/07/2007
Last Update Date : 01/31/2025

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1033399928 — SEA MAR COMMUNITY HEALTH CENTERS
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1912180456 — JENNIFER L LEONARD LMHC
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1881052280 — MS. JOLENE EVA JANACEK SUDP
Practice Location Address:
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Directions to “SEA MAR COMMUNITY HEALTH CENTERS ” Practice Location

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