Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Other names
Sea-Mar CHC Yelm SUD
Organization subpart
No
Provider details
NPI number
Authorized official
KRISTINA HOESCHEN (ADMINISTRATION DIRECTOR)
(206) 763-5277
Entity
Organization
Contact information
Practice address
202 CULLENS ST NW, YELM, WA 98597-9417
(360) 400-4860
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 474-2001
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
261QR0405X
Substance Use Disorder Rehabilitation Clinic/Center
—
—
Other
Enumeration date
05/25/2017
Last updated
05/25/2017
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