SEA MAR COMMUNITY HEALTH CENTER (NPI# 1437713864) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1437713864 |
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 | 3605564432 |
Practice Fax Number | 3606950628 |
Mailing Telephone | 2066816600 |
Enumeration Date | 2019-05-01 |
Last Update Date | 2019-05-01 |
Authorized Official Name | RACHEL BRIANNA WOODLAND (CREDENTIALING ASSISTANT) |
Authorized Official Telephone | 2536816600 |
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 |
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 |
1306403415 | Sea Mar Community Health Center | Dietitian, Registered | 1516 S 11th St, Tacoma, WA 98405-3332 | 2019-05-23 |
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 |
Entity Type | Entity Name | Entity Address |
---|---|---|
Washington State Corporations | SEA MAR COMMUNITY HEALTH CENTERS | 1040 S Henderson St, Seattle, WA 98108 |
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 |
1134682115 | Sea - Mar Community Health Center | Clinic/Center | 5501 Ne 109th Ct Ste A1, Vancouver, WA 98662-6173 | 2019-04-08 |
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 |
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.