SEA - MAR COMMUNITY HEALTH CENTER (NPI# 1508321761) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1508321761 |
| Entity Type | Organization |
| Organization Name | SEA - MAR COMMUNITY HEALTH CENTER |
| Other Organization Name | CSNW BATTLEGROUND |
| Practice Address |
11117 Ne 189th St Battle Ground WA 98604-6244 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2064742001 |
| Practice Fax Number | 2067648005 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2019-02-01 |
| Last Update Date | 2019-02-01 |
| 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 | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| CSNW Battleground | 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 |
11117 NE 189TH ST |
| City | BATTLE GROUND |
| State | WA |
| Zip Code | 98604-6244 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720062995 | Mary F. Mcclay | Nurse Practitioner | 11117 Ne 189th St, Battle Ground, WA 98604-6112 | 2005-12-01 |
| 1023370681 | Diana Lynn Canfield | Social Worker | 11117 Ne 189th St, Suite 205, Battle Ground, WA 98604-6244 | 2012-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194265421 | David Cotteleer | Physical Therapist | 14109 Ne 258th St, Battle Ground, WA 98604 | 2017-03-06 |
| 1235528936 | Jason Egbert | Optometrist | 1710 Sw 9th Ave Ste 112, Battle Ground, WA 98604 | 2015-01-18 |
| 1922413632 | Clearwater Escape | Clinic/Center | 118 South Parkway Ave # 215, Battle Ground, WA 98604 | 2014-06-23 |
| 1205171923 | Tiffany Alicia Natland | Massage Therapist | 119 S Parkway Ste 101a, Battle Ground, WA 98604 | 2012-12-06 |
| 1578812004 | Margaret Waddell | Dental Hygienist | 20516 Ne 101st Ct, Battle Ground, WA 98604 | 2012-08-30 |
| 1558678938 | Penny Marie Pastori | Pharmacist | 1201 Sw 13th Ave, Battle Ground, WA 98604 | 2010-09-08 |
| 1992026355 | Corey Michael Bretting | Massage Therapist | 614 East Main Street, Battle Ground, WA 98604 | 2010-06-18 |
| 1407009350 | Anna Lee Dunn | Massage Therapist | 309 N.e 1st St, Battle Ground, WA 98604 | 2008-10-23 |
| 1235393166 | Above Beyond Dentistry and Implants | Dentist | 1908 Nw 1st Way Suite 105, Battle Ground, WA 98604 | 2008-07-10 |
| 1770769150 | Jacqueline Siy Tan | Family Medicine | 2005 W Main St Ste 110, Battle Ground, WA 98604 | 2008-01-15 |
| Find all providers in zip 98604 | ||||
| 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 | ||||
| City | BATTLE GROUND |
| Zip Code | 98604 |
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.