Organization
SEA - MAR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL WOODLAND (CREDENTIALING SPECIALIST)
(253) 681-6601
Entity
Organization
Contact information
Practice address
9650 15TH AVE SW STE 100, SEATTLE, WA 98106-2576
(206) 965-1055
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6601
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
10/15/2019
Last updated
10/15/2019
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