Organization
SEA - MAR COMMUNITY HEALTH CENTER
Active
Organization
SEA - MAR COMMUNITY HEALTH CENTER
Active
Other names
CSNW Battleground
Organization subpart
No
Provider details
NPI number
Authorized official
JOLEE ANN ELIZABETH SANKEY (CREDENTIALING SUPERVISOR)
(206) 474-2001
Entity
Organization
Contact information
Practice address
11117 NE 189TH ST, BATTLE GROUND, WA 98604-6244
(206) 474-2001
(206) 764-8005
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
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
02/01/2019
Last updated
02/01/2019
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