Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (CEO)
(206) 763-5277
Entity
Organization
Contact information
Practice address
1112 S CUSHMAN AVE, TACOMA, WA 98405-3631
(253) 593-2144
(253) 272-4125
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(206) 764-3335
(206) 764-0489
Taxonomy
Speciality
Code
Description
License number
State
261QC1500X
Community Health Clinic/Center
Primary
6005372781
WA
261QF0400X
Federally Qualified Health Center (FQHC)
6005372781
WA
Other
Enumeration date
07/03/2008
Last updated
07/03/2008
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