Organization
SEA - MAR COMMUNITY HEALTH CENTER
Active
Organization
SEA - MAR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RACHEL WOODLAND (CREDENTIALING SPECIALIST)
(253) 681-6601
Entity
Organization
Contact information
Practice address
1010 E COLLEGE WAY, MOUNT VERNON, WA 98273-5624
(360) 542-8920
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
(253) 681-6601
(253) 681-6641
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
10/11/2019
Last updated
10/11/2019
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