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
1516 S 11TH ST, TACOMA, WA 98405-3332
(253) 396-1634
(253) 396-1663
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
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
600-537-278-1
WA
Other
Enumeration date
06/30/2008
Last updated
03/30/2010
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