SEA MAR COMMUNITY HEALTH CENTER (NPI# 1699332122) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699332122 |
| Entity Type | Organization |
| Organization Name | SEA MAR COMMUNITY HEALTH CENTER |
| Practice Address |
1920 100th St Se Ste B Everett WA 98208-3832 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 4253120204 |
| Mailing Telephone | 2536816601 |
| Mailing Fax Number | 2536816641 |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2019-05-21 |
| Authorized Official Name | RACHEL BRIANNA WOODLAND (CREDENTIALING ASSITANT) |
| Authorized Official Telephone | 2536816601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 133V00000X | Dietitian, Registered | Dietary & Nutritional Service Providers | ||
| N | 171M00000X | Case Manager/Care Coordinator | Other Service Providers | ||
| 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 |
1920 100TH ST SE STE B |
| City | EVERETT |
| State | WA |
| Zip Code | 98208-3832 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1477151025 | Glenda E Mendoza Mendez | Registered Nurse | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2020-10-15 |
| 1871191791 | Emina Polovina Bayomy | Nurse Practitioner | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2020-10-13 |
| 1558995159 | Annika Lilya Hearn | Registered Nurse | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2020-02-24 |
| 1134765589 | Shari Brown | Dietitian, Registered | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-11-20 |
| 1669034617 | Sara Joy Sobkowiak | Nurse Practitioner | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-06-30 |
| 1649830886 | Emily Fredricks Tully | Nurse Practitioner | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2019-06-19 |
| 1841774924 | Zhen Zeng | Social Worker | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2018-09-24 |
| 1669955589 | Olivia Danielle Noell | Social Worker | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2018-09-07 |
| 1861905465 | Sea-mar Community Health Center | Clinic/Center | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2017-11-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790270296 | Kenneth Britt Dyer | Registered Nurse | 10333 19th Ave, Se, Ste #109, Everett, WA 98208 | 2018-06-27 |
| 1518482215 | Glacier Peak Healthcare, Inc. | Home Health | 10530 19th Ave Se Ste 201, Everett, WA 98208 | 2017-08-03 |
| 1114454865 | Aliza Kreisman | Registered Nurse | 11020 19th Avenue Se, Kaiser Permanente of Washington Seattle Care Clinic, Everett, WA 98208 | 2017-05-12 |
| 1902269418 | Clay Eakin | Counselor | 2732 Grand Evenue, Everett, WA 98208 | 2016-04-01 |
| 1467810259 | Elizabeth Anne Powley | Marriage & Family Therapist | 1920 100th Street Southeast, Bld C3, Everett, WA 98208 | 2016-02-08 |
| 1659745842 | Andrea Rose Bedlington | Pharmacist | 11407 33rd Dr. Se, Everett, WA 98208 | 2015-11-25 |
| 1396123865 | Sound Surgeons Pllc | Clinic/Center | 125 130th Street Se, 1st Floor, Everett, WA 98208 | 2015-05-15 |
| 1831576537 | Chris Sturgeon | Counselor | 10102 Meridian Ave, Everett, WA 98208 | 2015-05-01 |
| 1982011128 | James M Lee | Physical Therapist | 10821 19th Ave Se Ste 102, Everett, WA 98208 | 2014-07-21 |
| 1972937357 | Ronald Tracy | Dentist | 10315 19th Avenue Se Suite 110, Everett, WA 98208 | 2013-08-21 |
| Find all providers in zip 98208 | ||||
| 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 |
|---|---|---|---|---|
| 1477911410 | Sea-mar Community Health Center | Clinic/Center | 1920 100th St Se, Ste C2, Everett, WA 98208-3832 | 2016-02-05 |
| 1962775270 | Sea-mar Community Health Center | Clinic/Center | 1920 100th St Se, Bldg B, Everett, WA 98208-3832 | 2012-02-16 |
| 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 | ||||
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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.