SEA - MAR COMMUNITY HEALTH CENTER (NPI# 1013577261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1013577261 |
| Entity Type | Organization |
| Organization Name | SEA - MAR COMMUNITY HEALTH CENTER |
| Practice Address |
735 12th St Se Fl 1 Auburn WA 98002-6709 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2536816600 |
| Practice Fax Number | 2536816641 |
| Mailing Telephone | 2536816601 |
| Mailing Fax Number | 2536816641 |
| Enumeration Date | 2019-06-19 |
| Last Update Date | 2019-06-19 |
| Authorized Official Name | RACHEL BRIANNA WOODLAND (CREDENTIALING ASSISTANT) |
| Authorized Official Telephone | 2536816601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 101Y00000X | Counselor | Behavioral Health & Social Service Providers | ||
| N | 101YA0400X |
Counselor Specialization: Addiction (Substance Use Disorder) |
Behavioral Health & Social Service Providers | ||
| N | 101YM0800X |
Counselor Specialization: Mental Health |
Behavioral Health & Social Service Providers | ||
| N | 101YS0200X |
Counselor Specialization: School |
Behavioral Health & Social Service Providers | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537768 | Sea - Mar Community Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 S Henderson St Fl 3, Seattle, WA 98108-4720 | 2020-08-07 |
| 1457987752 | Sea - Mar Community Health Center | Clinic/Center | 14300 Ne 18th St Rm 213, Vancouver, WA 98684-7807 | 2020-03-18 |
| 1538795844 | Sea - Mar Community Health Center | Clinic/Center | 9635 Des Moines Memorial Dr Ste 210, Seattle, WA 98108-5061 | 2020-03-18 |
| 1356984355 | Sea - Mar Community Health Center | Clinic/Center | 1112 6th Ave Ste 301, Tacoma, WA 98405-4048 | 2019-10-22 |
| 1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
| 1265950521 | Sea - Mar Community Health Center | Clinic/Center | 9650 15th Ave Sw # 100, Seattle, WA 98106-2820 | 2017-09-06 |
| 1780086686 | Sea - Mar Community Health Center | Counselor | 7424 Bridgeport Way W Ste 305&307, Lakewood, WA 98499-8120 | 2014-09-23 |
| 1972606333 | Sea - Mar Community Health Center | Pharmacy | 7438 S D Ave, Ste C, Concrete, WA 98237-9642 | 2006-09-07 |
| 1699394767 | Sea - Mar Community Health Center | Clinic/Center | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2020-04-09 |
| 1972136646 | Sea - Mar Community Health Center | Clinic/Center | 7424 Bridgeport Way W Ste 305&307, Lakewood, WA 98499-8120 | 2020-02-20 |
| Street Address |
735 12TH ST SE FL 1 |
| City | AUBURN |
| State | WA |
| Zip Code | 98002-6709 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336756451 | Natalia Marquez Avalos | Interpreter | 1001 37th St Se, Apt 2, Auburn, WA 98002 | 2020-09-24 |
| 1871065607 | Carrie Ann Sasser | Registered Nurse | 1005 37th Street Se, Auburn, WA 98002 | 2018-12-18 |
| 1730658881 | Nataliya Guga | Physical Therapy Assistant | 1323 17th St Se Apt A, Auburn, WA 98002 | 2018-11-19 |
| 1952876294 | Modeline Jules | Nurse Practitioner | 125 3rd St Ne Ste 403, Auburn, WA 98002 | 2018-10-12 |
| 1679055941 | Stephanie Storm Lariccia | Social Worker | 1000 Auburn Way S., Auburn, WA 98002 | 2018-09-04 |
| 1104330349 | North Auburn Health, LLC | Skilled Nursing Facility | 2830 I Street Ne, Auburn, WA 98002 | 2017-11-27 |
| 1265950554 | Allison Ortwein | Occupational Therapist | 2830 I St. Ne, Auburn, WA 98002 | 2017-09-06 |
| 1184171167 | Emily Faber | Counselor | 505 29th St, Auburn, WA 98002 | 2016-09-07 |
| 1255887907 | Elaine Priscilla Lucas | Counselor | 29th St Se Chartley House, 505, Auburn, WA 98002 | 2016-08-31 |
| 1871955823 | Melissa Mae Gustafson | Massage Therapist | 4220 A. St. Se, Suite 103, Auburn, WA 98002 | 2016-03-28 |
| Find all providers in zip 98002 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295386316 | Community Clinical Services, Inc | Clinic/Center | 1250 Turner St, Auburn, ME 04210-6436 | 2019-09-20 |
| 1144770793 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 12183 Locksley Ln Ste 107, Auburn, CA 95602 | 2016-10-06 |
| 1477909810 | Community Clinical Services, Inc. | Clinic/Center | 15 Sacred Heart Pl, Room A, Auburn, ME 04210-4938 | 2016-05-04 |
| 1336627546 | Western Sierra Medical Clinic, Inc. | Clinic/Center | 3111 Professional Dr, Auburn, CA 95603 | 2018-07-31 |
| 1558862912 | Wellspace Health | Clinic/Center | 3133 Professional Dr, Auburn, CA 95603-2463 | 2018-02-21 |
| 1346695756 | Community Clinical Services, Inc. | Clinic/Center | 3 Willow Run, Room A, Auburn, ME 04210-8501 | 2016-05-04 |
| 1821442039 | Community Clinical Services, Inc. | Clinic/Center | 2 Great Falls Plz, Suite 21, Room A, Auburn, ME 04210-5966 | 2016-04-14 |
| 1487080958 | Community Clinical Services, Inc. | Clinic/Center | 60 Second St, Auburn, ME 04210-6853 | 2013-09-17 |
| 1972845691 | Healthpoint | Clinic/Center | 2704 I St Ne, Auburn, WA 98002-2411 | 2013-03-20 |
| 1538451166 | Community Clinical Services, Inc. | Clinic/Center | 38 Falcon Dr, Auburn, ME 04210-4384 | 2011-05-16 |
| Find all providers in AUBURN | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.