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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
1261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)6 H80CS00 455-05-03WA
2261QF0400XFederally Qualified Health Center (FQHC)6 H80CS00 455-05-03WA

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 : 1942494133
Entity Type Code : Organization
Provider Name (Legal Business Name) : SEA-MAR COMMUNITY HEALTH CENTER
Provider Business Mailing Address
First Line : 4455 CORDATA PKWY
Second Line :
City : BELLINGHAM
State : WA
Zip : 98226-8037
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 : 206-764-0491
Fax Number :
Authorized Official
Title or Position : CEO
Name : MR. ROGELIO RIOJAS
Credential :
Telephone Number : 206-763-5277
Provider Enumeration Date : 08/30/2007
Last Update Date : 08/30/2007

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

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