SEA-MAR COMMUNITY HEALTH CENTER (NPI# 1124531538) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1124531538 |
Entity Type | Organization |
Organization Name | SEA-MAR COMMUNITY HEALTH CENTER |
Other Organization Name | SEA-MAR COMMUNITY HEATH CENTER LAKEWOOD MSS |
Practice Address |
14916 Washington Ave Sw Lakewood WA 98498-2271 |
Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
Practice Telephone | 2535826252 |
Practice Fax Number | 2532890865 |
Mailing Telephone | 8005492493 |
Mailing Fax Number | 2067648094 |
Enumeration Date | 2017-11-07 |
Last Update Date | 2017-11-07 |
Authorized Official Name | JOLEE ANN ELIZABETH SANKEY (PROVIDER ENROLLMENT SPECIALIST) |
Authorized Official Telephone | 2064742001 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
N | 261QF0050X |
Clinic/Center Specialization: Family Planning, Non-Surgical |
Ambulatory Health Care Facilities | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
Sea-Mar Community Heath Center Lakewood MSS | Other Name - Individual/Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
1912410523 | Sea-mar Community Health Center | Clinic/Center | 14508 Ne 20th Ave Ste 2, Vancouver, WA 98686-6434 | 2017-11-06 |
1427561018 | Sea-mar Community Health Center | Clinic/Center | 3560 Bridgeport Way W Ste 1a, University Place, WA 98466-4446 | 2017-11-06 |
1649783259 | Sea-mar Community Health Center | Clinic/Center | 10217 125th Street Ct E Ste 300, Puyallup, WA 98374-2761 | 2017-11-06 |
1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
1801204078 | Sea-mar Community Health Center | Clinic/Center | 14916 Washington Ave Sw, Lakewood, WA 98498-2271 | 2014-07-31 |
1366792707 | Sea-mar Community Health Center | Clinic/Center | 1920 100th Street Ne, Everett, WA 98208 | 2012-09-13 |
Street Address |
14916 WASHINGTON AVE SW |
City | LAKEWOOD |
State | WA |
Zip Code | 98498-2271 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1801204078 | Sea-mar Community Health Center | Clinic/Center | 14916 Washington Ave Sw, Lakewood, WA 98498-2271 | 2014-07-31 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1861045114 | James Ngigi Wachira | Social Worker | 7409 Coral Ln Sw, Lakewood, WA 98498 | 2019-07-16 |
1477111227 | Prana Briggs | Behavior Technician | 7902 Jade Drive Sw, Lakewood, WA 98498 | 2019-06-05 |
1528595212 | Palak Dweepkumar Shah | Physical Therapist | 10401 116th St Ct Sw, Apt K, Lakewood, WA 98498 | 2017-05-12 |
1821546946 | Epc General Contracting Services LLC | Home Health | 7423 Onyx Dr Sw, Lakewood, WA 98498 | 2016-09-18 |
1700212149 | Laverna Holwill Spain | Counselor | 8404 83rd Ave Sw Ste F, Lakewood, WA 98498 | 2013-09-17 |
1760787097 | Department of Social | Pharmacy | 9601 Stellacoom Blvd Sw, Tacoma, WA 98498 | 2011-01-18 |
1730321043 | James David Eshelman | Dentist | 8817-69th St. Ct. S.w., Lakewood, WA 98498 | 2009-04-01 |
1235393422 | Risa Leanne Salters | Social Worker | Western State Hospital 9601 Steilacoom Blvd. Sw, Lakewood, WA 98498 | 2008-07-16 |
1750596243 | Ruth Anne Hickey | Counselor | 12700 Gravelly Lake Dr Sw, Lakewood, WA 98498 | 2007-05-10 |
1982818803 | Linda J Leblanc | Nurse Practitioner | 10814 Deepwood Dr Sw, Lakewood, WA 98498 | 2007-05-09 |
Find all providers in zip 98498 |
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 |
---|---|---|---|---|
1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
1518437474 | Lakewood Resource and Referral Center, Inc. | Clinic/Center | 485 Locust St, Lakewood, NJ 08701-5896 | 2018-12-04 |
1679931646 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 South Teller Street, Lakewood, CO 80235-2014 | 2016-02-05 |
1114213972 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 West 2nd Place, Lakewood, CO 80228-1506 | 2011-06-21 |
1558526418 | Metro Community Provider Network, Inc. | Clinic/Center | 8755 West 14th Avenue, Lakewood, CO 80215-4863 | 2008-07-21 |
1437314481 | Metro Community Provider Network, Inc. | Clinic/Center | 1255 South Wadsworth Blvd., Lakewood, CO 80232-5406 | 2008-07-18 |
1992965420 | Metro Community Provider Network, Inc. | Clinic/Center | 8500 West Colfax Avenue, Lakewood, CO 80215-4011 | 2008-06-09 |
1699778233 | The Lakes Community Health Center, Inc | Clinic/Center | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2005-05-27 |
1710980917 | Ocean Health Initiatives | Clinic/Center | 101 2nd St, Lakewood, NJ 08701-3324 | 2005-05-23 |
Find all providers in LAKEWOOD |
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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.