SEA MAR COMMUNITY HEALTH CENTER (NPI# 1306403415) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1306403415 |
| Entity Type | Organization |
| Organization Name | SEA MAR COMMUNITY HEALTH CENTER |
| Practice Address |
1516 S 11th St Tacoma WA 98405-3332 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2532809836 |
| Practice Fax Number | 2532809853 |
| Mailing Telephone | 2536816601 |
| Mailing Fax Number | 2536816641 |
| Enumeration Date | 2019-05-23 |
| Last Update Date | 2019-05-23 |
| 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 |
| 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 |
| 1063079598 | Sea Mar Community Health Center | Dietitian, Registered | 1813 Sumner Ave, Aberdeen, WA 98520-4600 | 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 |
1516 S 11TH ST |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3332 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649379512 | Carl Joseph Hanning | Counselor | 1516 S 11th St, Tacoma, WA 98405-3332 | 2006-09-21 |
| 1255979423 | Haleigh Doane | Registered Nurse | 1516 S 11th St, Tacoma, WA 98405-3332 | 2019-12-18 |
| 1932743598 | Hilary Schumer | Registered Nurse | 1516 S 11th St, Tacoma, WA 98405-3332 | 2019-11-06 |
| 1710498647 | Kellee Henry | Registered Nurse | 1516 S 11th St, Tacoma, WA 98405-3332 | 2017-10-18 |
| 1972028181 | Ariana Michele Haidari | Dietitian, Registered | 1516 S 11th St, Tacoma, WA 98405-3332 | 2017-08-09 |
| 1124415674 | Maylin Urbon | Counselor | 1516 S 11th St, Tacoma, WA 98405-3332 | 2015-04-22 |
| 1639598550 | Brendalis Rios | Counselor | 1516 S 11th St, Tacoma, WA 98405-3332 | 2014-04-08 |
| 1164853420 | Avis Walcott | Counselor | 1516 S 11th St, Tacoma, WA 98405-3332 | 2013-12-11 |
| 1619302098 | Gustavo Portaro-moran | Counselor | 1516 S 11th St, Tacoma, WA 98405-3332 | 2013-09-04 |
| 1659712271 | Erin Cozzens | Counselor | 1516 S 11th St, Tacoma, WA 98405-3332 | 2013-07-11 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| 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 |
|---|---|---|---|---|
| 1790762755 | Community Health Care | Clinic/Center | 1148 Broadway Ste 100, Tacoma, WA 98402 | 2005-12-29 |
| 1336686138 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| 1194260174 | Sea Mar Community Health Centers | Clinic/Center | 3712 S Cedar St, Tacoma, WA 98409-5715 | 2016-12-29 |
| 1457895740 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2016-12-06 |
| 1205234424 | Metropolitan Development Council | Clinic/Center | 2342 Tacoma Ave S, Tacoma, WA 98402-1408 | 2014-12-22 |
| 1740443357 | Sea-mar Community Health Center | Clinic/Center | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2008-07-03 |
| 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.