Organization
SEA-MAR COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROGELIO RIOJAS (EXECUTIVE DIRECTOR)
(206) 788-3226
Entity
Organization
Contact information
Practice address
1400 N LAVENTURE RD, MOUNT VERNON, WA 98273-2766
(360) 428-4075
(360) 428-5813
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
6005372781
WA
261QH0100X
Health Service Clinic/Center
6005372781
WA
Other
Enumeration date
06/30/2008
Last updated
03/31/2010
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