SEA MAR COMMUNITY HEALTH CENTER (NPI# 1063079598) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063079598 |
| Entity Type | Organization |
| Organization Name | SEA MAR COMMUNITY HEALTH CENTER |
| Practice Address |
1813 Sumner Ave Aberdeen WA 98520-4600 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3608618710 |
| Practice Fax Number | 3608618717 |
| Mailing Telephone | 2536816601 |
| Mailing Fax Number | 2536816641 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-22 |
| 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 | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194380840 | Sea Mar Community Health Center | Clinic/Center | 512 Sterling Dr, Bellingham, WA 98226-5503 | 2019-05-08 |
| 1578127411 | Sea Mar Community Health Center | Clinic/Center | 3208 50th Street Ct Nw Bldg C, Gig Harbor, WA 98335-8590 | 2019-04-25 |
| 1891104980 | Sea Mar Community Health Center | Clinic/Center | 2342 Tacoma Ave S, Tacoma, WA 98402-1408 | 2014-08-04 |
| 1184047441 | Sea Mar Community Health Center | Obstetrics & Gynecology | 14508 Ne 20th Ave Ste 300, Vancouver, WA 98686-6418 | 2014-01-22 |
| 1639237142 | Sea Mar Community Health Center | Pharmacy | 8800 14th Ave S, Seattle, WA 98108-4864 | 2006-12-05 |
| 1306403415 | Sea Mar Community Health Center | Dietitian, Registered | 1516 S 11th St, Tacoma, WA 98405-3332 | 2019-05-23 |
| 1417514530 | Sea Mar Community Health Center | Dietitian, Registered | 3560 Bridgeport Way W Ste 1a, University Place, WA 98466-4446 | 2019-05-23 |
| 1235796764 | Sea Mar Community Health Center | Dietitian, Registered | 233 2nd Ave S, Kent, WA 98032-5852 | 2019-05-21 |
| 1144887670 | Sea Mar Community Health Center | Dietitian, Registered | 8915 14th Ave S Fl 3, Seattle, WA 98108-4813 | 2019-05-21 |
| 1699332122 | Sea Mar Community Health Center | Dietitian, Registered | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-05-21 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEA MAR COMMUNITY HEALTH CENTERS | 1040 S Henderson St, Seattle, WA 98108 |
| Street Address |
1813 SUMNER AVE |
| City | ABERDEEN |
| State | WA |
| Zip Code | 98520-4600 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831251909 | Daniel Richard Overton | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2006-12-15 |
| 1871119842 | Luis A Herrera | Nurse Practitioner | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2020-06-24 |
| 1841767126 | Jessica Marie Vessey | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2018-10-25 |
| 1104329663 | Mark Owen Anderson | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2018-03-12 |
| 1265945679 | Sea-mar Community Health Center | Clinic/Center | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2017-11-07 |
| 1982132650 | Lauralee Peterson | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2017-05-25 |
| 1114450947 | Kassy Montgomery | Dietitian, Registered | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2017-04-08 |
| 1821445974 | Jamis Roose | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2016-05-18 |
| 1861858920 | Lori Tornquist | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2016-01-05 |
| 1730544453 | Raymon Robinette | Counselor | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 2015-12-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740755354 | Wchs, Inc. | Clinic/Center | 516 East 1st Street, Aberdeen, WA 98520 | 2018-10-10 |
| 1518454180 | Katie Cutshaw | Counselor | 1700 Cherry Street, Suite C, Aberdeen, WA 98520 | 2018-04-18 |
| 1629587738 | Robert Williams | Counselor | Catholic Community Services, 403 West State Street, Suite 206, Aberdeen, WA 98520 | 2017-09-21 |
| 1174032296 | Amy D Tyler | Peer Specialist | 403 W State Street, Ste 206, Aberdeen, WA 98520 | 2017-09-20 |
| 1073032819 | Amanda Leona Franklin | Counselor | 2700 Simpson Ave, Suite 101, Aberdeen, WA 98520 | 2017-09-13 |
| 1184141152 | Chrystal Lynn Beckley | Counselor | 2700 Simpson Avenue Suite 101, Aberdeen, WA 98520 | 2017-08-29 |
| 1285158923 | Josh Butler | Technician/Technologist | 1718 Sumner Ave, Aberdeen, WA 98520 | 2017-08-02 |
| 1386165553 | Melvin Taylor | Counselor | 311 South I Street, Aberdeen, WA 98520 | 2017-06-28 |
| 1164870267 | Kelly Knittle | Counselor | 4820 She-nah-num Dr. Se, Olympia, WA 98520 | 2016-05-31 |
| 1437570249 | Aberdeen Therapy Works | Occupational Therapist | 100 S. I Street, Suite 205, Aberdeen, WA 98520 | 2013-12-20 |
| Find all providers in zip 98520 | ||||
| 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 |
|---|---|---|---|---|
| 1841786001 | West Cecil Health Center Inc. | Clinic/Center | 100 E Bel Air Ave, Aberdeen, MD 21001-3837 | 2018-07-10 |
| 1104248475 | Horizon Health Care Inc | Clinic/Center | 506 S Wilson St, Aberdeen, SD 57401-5082 | 2014-01-06 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
| 1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on SEA MAR COMMUNITY HEALTH CENTER.
| 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.