Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Organization
SEA MAR COMMUNITY HEALTH CENTERS
Active
Other names
Sea-Mar Community Health Center, Sea Mar CHC Kelso Behavioral Health
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (CEO)
(206) 763-5277
Entity
Organization
Contact information
Practice address
1710 ALLEN ST, KELSO, WA 98626-4907
(360) 261-7020
(360) 261-7030
Mailing address
PO BOX 34703, SEATTLE, WA 98124-1703
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YM0800X
Mental Health Counselor
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
600537278
WA
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
600537278
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2054154
—
WA
Enumeration date
02/12/2016
Last updated
01/31/2025
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