SEA-MAR COMMUNITY HEALTH CENTER (NPI# 1679012488) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1679012488 |
| Entity Type | Organization |
| Organization Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Other Organization Name | SEA MAR CHC SUBSTANCE ABUSE |
| Practice Address |
2781 S 242nd St Des Moines WA 98198-5166 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2067643335 |
| Mailing Telephone | 2067643335 |
| Enumeration Date | 2017-02-14 |
| Last Update Date | 2017-02-14 |
| Authorized Official Name | MARY BARTOLO (EXECUTIVE VICE PRESIDENT) |
| Authorized Official Telephone | 2067883263 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sea Mar CHC Substance Abuse | Doing Business As Name - Organization |
| 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 |
2781 S 242ND ST |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-5166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1679118285 | Shannon Tebbetts | Registered Nurse | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2019-11-07 |
| 1568973600 | Cristina Cardona | Pharmacist | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2017-10-16 |
| 1407379209 | Emily Ann Mekeel | Dietitian, Registered | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2017-07-24 |
| 1700312501 | Angelique Ha | Dental Hygienist | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2017-05-11 |
| 1972046415 | Hannah Rose Maxwell | Registered Nurse | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-12-01 |
| 1407398084 | Sea Mar Community Health Centers | Case Manager/Care Coordinator | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-11-14 |
| 1205378890 | Sea Mar Community Health Centers | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-11-14 |
| 1306295514 | Laura J Lenzi | Dental Hygienist | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-06-08 |
| 1750737193 | Sea-mar Community Health Center | Pharmacy | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2016-05-04 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| 1487971875 | Vu H Thach | Pharmacist | 23003 Pacific Hyw, Des Moines, WA 98198 | 2010-04-26 |
| Find all providers in zip 98198 | ||||
| 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 |
|---|---|---|---|---|
| 1174139158 | Primary Health Care, Inc. | Clinic/Center | 2401 Se 14th St, Des Moines, IA 50320-1111 | 2020-09-16 |
| 1598204182 | Primary Health Care, Inc. | Clinic/Center | 4800 Aurora Ave, Des Moines, IA 50310-2903 | 2017-02-16 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1871716498 | Primary Health Care, Inc. | Clinic/Center | 1420 Mulberry St, Des Moines, IA 50309-3618 | 2007-04-11 |
| 1720539091 | Primary Health Care, Inc. | Clinic/Center | 1200 University Ave, Ste 100, Des Moines, IA 50314-2355 | 2016-10-20 |
| 1083086359 | Primary Health Care, Inc. | Clinic/Center | 1800 Grand Ave, Des Moines, IA 50309-3310 | 2015-10-27 |
| 1316379845 | Primary Health Care, Inc. | Clinic/Center | 250 Laurel St, Des Moines, IA 50314-3024 | 2013-08-07 |
| 1477807261 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 201, Des Moines, WA 98198 | 2012-11-01 |
| 1275656787 | Primary Health Care, Inc. | Clinic/Center | 918 Se 11th St, Des Moines, IA 50309-5324 | 2007-04-09 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
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.