Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (EXECUTIVE DIRECTOR)
(206) 788-3226
Entity
Organization
Contact information
Practice address
10217 125TH STREET CT E, COURT E, PUYALLUP, WA 98374-2761
(253) 864-4550
(253) 864-4558
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600 537 278 1
WA
261QH0100X
Health Service Clinic/Center
600 537 278 1
WA
Other
Enumeration date
06/23/2008
Last updated
03/31/2010
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