Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Other names
Sea Mar Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (EXECUTIVE DIRECTOR)
(206) 763-5277
Entity
Organization
Contact information
Practice address
3010 STATE ROUTE 109, COPALIS BEACH, WA 98535
(360) 289-2472
(360) 283-9982
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
6 H80CS00445-05-03
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
6 H80CS00445-05-03
WA
Other
Enumeration date
09/10/2007
Last updated
03/12/2010
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