SEA-MAR COMMUNITY HEALTH CENTER (NPI# 1659560555) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1659560555 |
| Entity Type | Organization |
| Organization Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Practice Address |
12812 101st Avenue Ct E Ct E, 2nd Fl Puyallup WA 98373-9101 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2538644770 |
| Practice Fax Number | 2538644771 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2007-10-17 |
| Last Update Date | 2011-06-14 |
| Authorized Official Name | ROGELIO RIOJAS (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 2067625377 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
6 H80CS00445-05- | WA | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
6 H80CS00445-05- | WA | 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 |
12812 101ST AVENUE CT E CT E, 2ND FL |
| City | PUYALLUP |
| State | WA |
| Zip Code | 98373-9101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851459861 | Kia Marie King | Massage Therapist | 12812 101st Avenue Ct E, Suite 104, Puyallup, WA 98373-9101 | 2006-12-04 |
| 1750927539 | Ashley Jefferson | Nurse Practitioner | 12812 101st Avenue Ct E, Puyallup, WA 98373-9101 | 2019-11-27 |
| 1164991972 | Oscar Manual Meza-valle | Case Manager/Care Coordinator | 12812 101st Avenue Ct E, Puyallup, WA 98373-9101 | 2018-11-21 |
| 1225493505 | Judith Velasquez | Counselor | 12812 101st Avenue Ct E, Suite 202, Puyallup, WA 98373-9101 | 2015-12-30 |
| 1629443080 | Yonsim Jordan | Counselor | 12812 101st Avenue Ct E, Puyallup, WA 98373-9101 | 2015-12-09 |
| 1447628722 | Jillayne Macdonald | Counselor | 12812 101st Avenue Ct E, Suite 202, Puyallup, WA 98373 | 2015-09-03 |
| 1801292453 | Marjut Feltamo | Social Worker | 12812 101st Avenue Ct E, Puyallup, WA 98373-9101 | 2014-11-10 |
| 1578965182 | Charleen Fitzgerald | Counselor | 12812 101st Avenue Ct E, Puyallup, WA 98373-9101 | 2014-09-25 |
| 1780003616 | Ruisdael Vallejo Pacheco | Counselor | 12812 101st Avenue Ct E, Suite 202, Puyallup, WA 98373-9101 | 2014-04-08 |
| 1376974501 | Hector Madrid | Counselor | 12812 101st Avenue Ct E, Puyallup, WA 98373-9101 | 2013-12-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801494711 | Caroline Brown Corbett | Dentist | 8012 112th St Ct E #320, Puyallup, WA 98373 | 2020-10-13 |
| 1629615760 | Jessie Jean Waiamau-ariota | Counselor | Winds of Liberty, 702 S Hill Park Dr Ste 206, Puyallup, WA 98373 | 2019-12-09 |
| 1194369181 | Ruba H Tawil | Dentist | 12005 Meridian E # 102, Puyallup, WA 98373 | 2019-11-01 |
| 1336621267 | Cara Tseng | Physician Assistant | 2940 S Meridian, Suite 200, Puyallup, WA 98373 | 2018-09-06 |
| 1902390289 | Melissa M Jenkins | Registered Nurse | 2920 S Meridian Ste 100, Puyallup, WA 98373 | 2018-06-19 |
| 1881141323 | Linda Cole | Massage Therapist | 8409 204th Street East, Spanaway, WA 98373 | 2016-09-01 |
| 1861855389 | Christina Leigh Bailey | Optometrist | 3500 S Meridian Ste 926, Puyallup, WA 98373 | 2016-04-01 |
| 1518301951 | Bryan Michael Swanson | Dentist | 2910 S Meridian Ste 120, Puyallup, WA 98373 | 2013-04-27 |
| 1760720569 | Vankosin Hewitt | Massage Therapist | 13613 Meridian East # 260, Puyallup, WA 98373 | 2013-01-29 |
| 1558607705 | Rosie Martinez | Counselor | 12812 101st Avenue Courte E, Suite 202, Puyallup, WA 98373 | 2012-12-17 |
| Find all providers in zip 98373 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 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.