Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea Mar CHC Geriatric Psych Clinic, Sea-Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (CEO)
(206) 763-5277
Entity
Organization
Contact information
Practice address
1040 S HENDERSON ST, SEATTLE, WA 98108-4720
(206) 788-3380
(206) 788-3393
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
164W00000X
Licensed Practical Nurse
—
—
2084P0800X
Psychiatry Physician
—
—
2084P0805X
Geriatric Psychiatry Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
320800000X
Mental Illness Community Based Residential Treatment Facility
—
—
363A00000X
Physician Assistant
—
—
363L00000X
Nurse Practitioner
—
—
363LF0000X
Family Nurse Practitioner
—
—
363LG0600X
Gerontology Nurse Practitioner
—
—
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2172938
—
WA
Enumeration date
08/07/2020
Last updated
01/31/2025
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