SEA - MAR COMMUNITY HEALTH CENTER (NPI# 1114537768) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1114537768 |
| Entity Type | Organization |
| Organization Name | SEA - MAR COMMUNITY HEALTH CENTER |
| Practice Address |
1040 S Henderson St Fl 3 Seattle WA 98108-4720 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2067640526 |
| Enumeration Date | 2020-08-07 |
| Last Update Date | 2020-08-18 |
| Authorized Official Name | LETRIANA SANTIAGO (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2067640526 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 320900000X | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | Residential Treatment Facilities | ||
| Y | 320800000X | Community Based Residential Treatment Facility, Mental Illness | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 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 |
| 1013577261 | Sea - Mar Community Health Center | Counselor | 735 12th St Se Fl 1, Auburn, WA 98002-6709 | 2019-06-19 |
| 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 |
1040 S HENDERSON ST FL 3 |
| City | SEATTLE |
| State | WA |
| Zip Code | 98108-4720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205468899 | Connie Heath | Counselor | 13044 14th Ave S, Seattle, WA 98108 | 2020-02-11 |
| 1316501216 | Hawa Ramazani Hamadi | Massage Therapist | 8811 2nd Ave S, Seattle, WA 98108 | 2019-04-25 |
| 1306312111 | Noor Ahmad Daftani | Counselor | 4008 Mlk Jr. Way, Seattle, WA 98108 | 2018-10-18 |
| 1346726015 | Erica M Meurk | Counselor | 3016 S Dakota St, Seattle, WA 98108 | 2018-07-16 |
| 1023527892 | Holly Lynn Wickizer | Social Worker | 6160 S. Columbian Way, Seattle, WA 98108 | 2017-09-25 |
| 1053708628 | Flora Feifei Li | Student in an Organized Health Care Education/Training Program | 6200 13th Avenue South, Seattle, WA 98108 | 2015-04-22 |
| 1174869481 | Cheryll J Frazier | Counselor | 1600 S. Columbia Way S-116-wtrc, Seattle, WA 98108 | 2012-12-14 |
| 1831440973 | Blissa Tanaka | Pharmacist | 1660 S. Columbian Way (s-119), Seattle, WA 98108 | 2012-09-28 |
| 1023367968 | Victoria Bozzacco | Registered Nurse | 4515 Martin Luther King Way S, Seattle, WA 98108 | 2012-09-06 |
| 1992053847 | Russell Larder | Registered Nurse | 4515 Martin Luther King Jr Way, Seattle, WA 98108 | 2012-08-27 |
| Find all providers in zip 98108 | ||||
| Taxonomy Code | 320800000X |
| Grouping | Residential Treatment Facilities |
| Classification | Community Based Residential Treatment Facility, Mental Illness |
| A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891242913 | Amanda Wager | Community Based Residential Treatment Facility, Mental Illness | 204 Ne 94th Street, Seattle, WA 98115-2727 | 2016-09-07 |
| 1750923280 | Sound | Community Based Residential Treatment Facility, Mental Illness | 3515 Woodland Park Ave N, Seattle, WA 98103-8928 | 2019-10-16 |
| 1922640457 | Sound | Community Based Residential Treatment Facility, Mental Illness | 2119 2nd Ave, Seattle, WA 98121-2207 | 2019-10-16 |
| 1225670755 | Sound | Community Based Residential Treatment Facility, Mental Illness | 204 Ne 94th St, Seattle, WA 98115-2752 | 2019-10-16 |
| 1699150771 | Terran Imani Poindexter | Community Based Residential Treatment Facility, Mental Illness | 2600 Sw Holden St, Seattle, WA 98126-3505 | 2015-07-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851885107 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 1250 Se Commercial Dr, College Place, WA 99324 | 2018-06-20 |
| 1801240361 | Alyssia Lucas | Community Based Residential Treatment Facility, Mental Illness | 6510 Cady Rd, Everett, WA 98203-4520 | 2016-04-20 |
| 1821459041 | Cullum House | Community Based Residential Treatment Facility, Mental Illness | 208 Cullum Ave, Richland, WA 99352-4534 | 2016-03-16 |
| 1720470057 | Metropolitan Development Council | Community Based Residential Treatment Facility, Mental Illness | 721 Fawcett Ave Ste 100, Tacoma, WA 98402-5502 | 2015-02-24 |
| 1083035547 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 201 S 2nd Ave, Yakima, WA 98902 | 2013-12-30 |
| 1801224803 | The Clearing, Spc | Community Based Residential Treatment Facility, Mental Illness | 2687 W Valley Rd, Friday Harbor, WA 98250-8164 | 2013-10-29 |
| 1952532996 | Behavioral Health Resources | Community Based Residential Treatment Facility, Mental Illness | 1275 S 2nd Ave Sw, Tumwater, WA 98512-6976 | 2009-08-06 |
| 1447481858 | Elahan Place | Community Based Residential Treatment Facility, Mental Illness | 7415 Ne 94th Ave, Vancouver, WA 98662-3859 | 2009-08-03 |
| 1689812968 | Comprehensive Healthcare | Community Based Residential Treatment Facility, Mental Illness | 504 S 3rd Ave, Yakima, WA 98902 | 2009-01-26 |
| 1730302811 | On Good Hands Afh LLC | Community Based Residential Treatment Facility, Mental Illness | 508 172nd Pl Ne, Bellevue, WA 98008-4127 | 2007-04-10 |
| 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.