SEA MAR COMMUNITY HEALTH CENTERS (NPI# 1497106645) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1497106645 |
| Entity Type | Organization |
| Organization Name | SEA MAR COMMUNITY HEALTH CENTERS |
| Practice Address |
19005 Se 34th St Building 3 Vancouver WA 98683-1450 |
| Mailing Address |
8801 14th Ave S Seattle WA 98108-4809 |
| Practice Telephone | 2064742001 |
| Mailing Telephone | 2064742001 |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2016-07-01 |
| Authorized Official Name | ROGELIO RIOJAS (CEO) |
| Authorized Official Telephone | 2067635277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1902414618 | Sea Mar Community Health Centers | Clinic/Center | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-07-20 |
| 1942826268 | Sea Mar Community Health Centers | Clinic/Center | 202 Cross St Se, Auburn, WA 98002-5406 | 2020-06-23 |
| 1932725256 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw, Lynnwood, WA 98036-4613 | 2020-06-23 |
| 1922624642 | Sea Mar Community Health Centers | Clinic/Center | 225 176th St S, Spanaway, WA 98387-9201 | 2020-06-18 |
| 1972040772 | Sea Mar Community Health Centers | Clinic/Center | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2017-01-31 |
| 1982141784 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEA MAR COMMUNITY HEALTH CENTERS | 1040 S Henderson St, Seattle, WA 98108 |
| Street Address |
19005 SE 34TH ST BUILDING 3 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98683-1450 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1932370756 | Joanne M Wallis | Nurse Practitioner | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2008-03-19 |
| 1841842093 | Tasia Davis | Dental Hygienist | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2019-07-09 |
| 1598235954 | Kristen Lee Funk-tracy | Counselor | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2018-11-28 |
| 1760995179 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-11-07 |
| 1083153233 | Sea-mar Community Health Center | Pharmacy | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-21 |
| 1801335617 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-14 |
| 1629517438 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-14 |
| 1770025363 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2016-11-14 |
| 1255883260 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Building 3, Vancouver, WA 98683-1450 | 2016-10-26 |
| 1770934929 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Building 3, Vancouver, WA 98683-1450 | 2016-06-29 |
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
| 1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
| 1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
| 1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
| 1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
| 1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
| 1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
| 1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
| 1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
| 1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
| Find all providers in zip 98683 | ||||
| Taxonomy Code | 261QD0000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Dental |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588282313 | Darius Arlauskas Dmd Pllc | Clinic/Center | 11215 Ne Fourth Plain Blvd Ste 106, Vancouver, WA 98662-5705 | 2020-07-08 |
| 1720553993 | Michael Jensen Dmd PC | Clinic/Center | 406 Se 131st Ave Ste 202, Vancouver, WA 98683-4013 | 2018-10-03 |
| 1104329994 | The Dentist@felida | Clinic/Center | 10710 Nw Lakeshore Ave, Vancouver, WA 98685-4786 | 2018-03-17 |
| 1528573870 | Christopher B Bessey, Dds, Pllc | Clinic/Center | 12116 Se Mill Plain Blvd Ste 3, Vancouver, WA 98684-6000 | 2017-12-08 |
| 1588117568 | Salmon Creek Family Dental | Clinic/Center | 2515 Ne 134th St, Suite 200, Vancouver, WA 98686-3041 | 2016-07-26 |
| 1164898342 | Special Delivery Dental Care, Pllc | Clinic/Center | 16500 Se 15th St Ste 150, Vancouver, WA 98683-9667 | 2015-08-11 |
| 1225451800 | Sharma Access Dental Ps | Clinic/Center | 1412 Ne 134th St Ste 140, Vancouver, WA 98685-2720 | 2014-02-01 |
| 1467895870 | Half Dental Wa Inc. | Clinic/Center | 910 Ne Minnehaha St Ste 12, Vancouver, WA 98665-8749 | 2013-04-16 |
| 1205147840 | New Day Community Dental Clinic | Clinic/Center | 1201 Se Tech Center Dr Ste 150, Vancouver, WA 98683-5523 | 2010-06-29 |
| 1750516639 | Nutterwilson Pllc | Clinic/Center | 601 Se 117th Ave Ste 230, Vancouver, WA 98683-5297 | 2009-05-21 |
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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.