# SEA-MAR COMMUNITY HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1740443357
- **Authorized official:** ROGELIO RIOJAS (CEO)
- **Authorized official phone:** (206) 763-5277

## Contact information

- **Practice address:** 1112 S CUSHMAN AVE, TACOMA, WA 98405-3631
- **Practice address phone:** (253) 593-2144
- **Practice address fax:** (253) 272-4125
- **Mailing address:** PO BOX 34703, SEATTLE, WA 98124-1703
- **Mailing address phone:** (206) 764-3335
- **Mailing address fax:** (206) 764-0489

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QC1500X | Community Health Clinic/Center | 6005372781 | WA | Yes |
| 261QF0400X | Federally Qualified Health Center (FQHC) | 6005372781 | WA | — |

## Other

- **Enumeration date:** 07/03/2008
- **Last updated:** 07/03/2008
