SEA-MAR COMMUNITY HEALTH CENTER (NPI# 1144643479) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144643479 |
| Entity Type | Organization |
| Organization Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Practice Address |
202 Cullens St Nw Yelm WA 98597-9417 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3603594840 |
| Enumeration Date | 2014-01-22 |
| Last Update Date | 2014-05-15 |
| Authorized Official Name | ROGEILO RIOJAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2067883201 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| 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 |
202 CULLENS ST NW |
| City | YELM |
| State | WA |
| Zip Code | 98597-9417 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902850803 | Kirk Dawson | Family Medicine | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2006-05-22 |
| 1124669395 | Amy Ashton Masters | Social Worker | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2019-09-30 |
| 1144781295 | Josielyn Ordonio Shaeffer | Counselor | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2019-03-29 |
| 1366917668 | Winona Casanova | Counselor | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2018-10-12 |
| 1346763455 | Brian Harvey | Nurse Practitioner | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2017-07-20 |
| 1588192264 | Sea-mar Community Health Center | Clinic/Center | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2017-05-25 |
| 1588191282 | Jacqueline Chaney | Counselor | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2017-05-12 |
| 1083090567 | Khealynn Fernelius Harris | Dentist | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2015-08-06 |
| 1326420407 | Caitlin Gomez | Dentist | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2015-06-24 |
| 1861880494 | Tynece L Buggs | Nurse Practitioner | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2015-01-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1538652888 | Michael Nathan Steim | Dentist | 504 Yelm Avenue West, Yelm, WA 98597 | 2018-06-12 |
| 1457854549 | Ursula Schanne | Massage Therapist | 10501 Creek St Se Ste 7, Yelm, WA 98597 | 2018-03-14 |
| 1215449079 | Kaylee Jean Cook | Occupational Therapy Assistant | 107 1st Street Ne, Yelm, WA 98597 | 2017-11-01 |
| 1740705615 | Heather Anne Ervine | Physical Therapy Assistant | 14809 89th Ave Se, Yelm, WA 98597 | 2017-08-11 |
| 1679014559 | Beverly Dunford | Massage Therapist | 404 1st St S Ste. H, Yelm, WA 98597 | 2017-03-13 |
| 1740735158 | Amanda Kroboth | Speech-Language Pathologist | 16535 110th Ave Se, Yelm, WA 98597 | 2016-08-16 |
| 1134587090 | Lopaka Thanh Son Los Banos | Massage Therapist | 35617 Wa-507, Yelm, WA 98597 | 2016-02-08 |
| 1629472816 | Michelle Louise Punzel | Registered Nurse | 202 Stevens Ave Nw, Yelm, WA 98597 | 2014-10-16 |
| 1386074581 | Bobbi J Ashley | Counselor | 202 Cullens Rd, Yelm, WA 98597 | 2013-11-25 |
| 1295008100 | Trina Baggett | Doula | 21618 N Clearlake Blvd Se, Yelm, WA 98597 | 2012-02-23 |
| Find all providers in zip 98597 | ||||
| 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 |
|---|---|---|---|---|
| 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.