SEA - MAR COMMUNITY HEALTH CENTER (NPI# 1134682115) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1134682115 |
| Entity Type | Organization |
| Organization Name | SEA - MAR COMMUNITY HEALTH CENTER |
| Practice Address |
5501 Ne 109th Ct Ste A1 Vancouver WA 98662-6173 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2605664432 |
| Practice Fax Number | 3606950628 |
| Mailing Telephone | 2064742001 |
| Mailing Fax Number | 2067648005 |
| Enumeration Date | 2019-04-08 |
| Last Update Date | 2019-04-08 |
| Authorized Official Name | JOLEE ANN ELIZABETH SANKEY (CREDENTIALING SUPERVISOR) |
| Authorized Official Telephone | 2064742001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| 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 |
| Other Name | Type Code |
|---|---|
| Vancouver BH Tele-Psyche | Other Name - Individual/Organization |
| 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 |
| 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 |
| Street Address |
5501 NE 109TH CT STE A1 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98662-6173 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235494477 | Breya Chantarabunchorn | Marriage & Family Therapist | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2012-07-12 |
| 1437713864 | Sea Mar Community Health Center | Clinic/Center | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2019-05-01 |
| 1780146670 | Maribel Yadira Garza | Case Manager/Care Coordinator | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2019-04-01 |
| 1558829457 | Johnathan Samuel Detwiler | Counselor | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2019-03-10 |
| 1427509017 | Marguerite Mccormack | Counselor | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2016-10-18 |
| 1669869442 | Lynette Ramirez | Counselor | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2015-04-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861024911 | Hillary Ann Devore | Behavior Technician | 9414 Ne Fouth Plain Road, Vancouver, WA 98662 | 2020-02-06 |
| 1073091781 | Jessica Edit Villasenor | Social Worker | 9800 Ne Oakview Dr, Vancouver, WA 98662 | 2018-08-03 |
| 1568991123 | Preferred Rx Pharmacy Inc | Pharmacy | 10303 Ne Fourth Plain Blvd Ste 109, Vancouver, WA 98662 | 2017-06-07 |
| 1982058814 | Nw Interventional Medicine and Orthopedic Rehab Pllc | Physician Assistant | 11802 Ne 65th St., Vancouver, WA 98662 | 2016-04-18 |
| 1942685664 | Silpa Nekkalapudi | Dentist | 11504 Ne 119th St, Suite 100, Vancouver, WA 98662 | 2015-07-23 |
| 1528468261 | Lidiya Chepa | Pharmacist | 14505 Ne Fourth Plain Boulevard, Vancouver, WA 98662 | 2014-08-29 |
| 1962827030 | Vanessa Wulff | Chiropractor | 6405 Ne 116th Ave Ste 106, Vancouver, WA 98662 | 2014-02-26 |
| 1326484080 | Precious Jewel Adult Family Home | Custodial Care Facility | 9707 Ne 115th Ct, Vancouver, WA 98662 | 2013-05-21 |
| 1457698466 | Elise C Jones | Counselor | 4400 Ne 77th Ave., Suite 275, Vancouver, WA 98662 | 2013-01-10 |
| 1396096103 | At Home Sleep Solutions | Clinic/Center | 9330 Ne Vancouver Mall Dr., Suite 202, Vancouver, WA 98662 | 2012-09-20 |
| Find all providers in zip 98662 | ||||
| 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 |
|---|---|---|---|---|
| 1902414618 | Sea Mar Community Health Centers | Clinic/Center | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-07-20 |
| 1629517438 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-14 |
| 1770934929 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Building 3, Vancouver, WA 98683-1450 | 2016-06-29 |
| 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 | ||||
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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.