SEA-MAR COMMUNITY HEALTH CENTER (NPI# 1740443357) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740443357 |
| Entity Type | Organization |
| Organization Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Practice Address |
1112 S Cushman Ave Tacoma WA 98405-3631 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2535932144 |
| Practice Fax Number | 2532724125 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2008-07-03 |
| Last Update Date | 2008-07-03 |
| Authorized Official Name | ROGELIO RIOJAS (CEO) |
| Authorized Official Telephone | 2067635277 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
6005372781 | WA | Ambulatory Health Care Facilities |
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
6005372781 | 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 |
1112 S CUSHMAN AVE |
| City | TACOMA |
| State | WA |
| Zip Code | 98405-3631 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063410926 | Janitzia Schurch Diaz | Internal Medicine | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2005-07-13 |
| 1437759115 | Isis Judith Lozano Vazquez | Nurse Practitioner | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2020-10-30 |
| 1700498607 | Zachary Michael Mangarin | Dental Hygienist | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2020-08-21 |
| 1679118913 | Joselyne Arriola Rangel | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-11-11 |
| 1710535976 | Isaura Torres | Nurse Practitioner | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-08-30 |
| 1780242610 | Veronika Magali Tapia Giron | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2019-06-05 |
| 1992273783 | Heather M Rotter | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-11-09 |
| 1588147524 | Sea - Mar Community Health Center | Counselor | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-09-14 |
| 1861989071 | Monica Varela Rodriguez | Dentist | 1112 S Cushman Ave, Tacoma, WA 98405 | 2018-04-13 |
| 1679071245 | Nicole Gioiosa | Dietitian, Registered | 1112 S Cushman Ave, Tacoma, WA 98405-3631 | 2018-01-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609486026 | Joanna Christine Hope | Physician Assistant | 2502 S Union Avenue, Tacoma, WA 98405 | 2020-08-01 |
| 1467077891 | Richard Jimenez | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way Suite #310, Tacoma, WA 98405 | 2020-06-11 |
| 1669008785 | Mariana Sanchez Corona | Behavior Technician | 1901 S Union Ave Allenmore Building B, Tacoma, WA 98405 | 2020-03-20 |
| 1811534845 | Jasmine Gregory | Social Worker | 311 Martin Luther King Jr. Way, Ms:315-c2-php, Tacoma, WA 98405 | 2019-12-10 |
| 1548807506 | Holly Rebecca Brezynski | Student in an Organized Health Care Education/Training Program | Fresenius Kindney Care - Home Therapies Department, 1717 South J Street, Tacoma, WA 98405 | 2019-12-09 |
| 1972064392 | Logan Brau | Student in an Organized Health Care Education/Training Program | 1202 M.l.k. Jr Way, Tacoma, WA 98405 | 2019-03-28 |
| 1629532536 | Preferred Orthotic and Prosthetic Services Inc | Prosthetic/Orthotic Supplier | 1708 Yakima Ave Ste 60, Tacoma, WA 98405 | 2019-01-24 |
| 1669945911 | Heidi Weakley | Counselor | 1001 S Yakima Ave, Suite 5, Tacoma, WA 98405 | 2019-01-09 |
| 1972074011 | Taviance Benet Laster | Behavior Technician | 1416 S 9th St, Tacoma, WA 98405 | 2018-12-16 |
| 1336618040 | Bailey Bangerter | Physician Assistant | 1901 South Union, A-233, Tacoma, WA 98405 | 2018-11-26 |
| Find all providers in zip 98405 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1063026391 | Community Health Care | Clinic/Center | 3811 E Arlington Dr Rm 117, Tacoma, WA 98404-4613 | 2020-09-03 |
| 1891030300 | Fred Meyer Pharmacy | Clinic/Center | 4505 South 19th, Tacoma, WA 98405 | 2012-12-10 |
| 1407076110 | Community Health Care | Clinic/Center | 1202 Martin Luther King Jr. Way, Tacoma, WA 98405 | 2007-04-26 |
| 1831317098 | Community Health Care | Clinic/Center | 3611 S D St, Suite 7, Tacoma, WA 98418-6813 | 2007-04-23 |
| 1194943308 | Community Health Care | Clinic/Center | 1708 East 44th St, Tacoma, WA 98404-4611 | 2007-04-23 |
| 1114398070 | Comprehensive Mental Health Center | Clinic/Center | 1201 S Proctor St, Tacoma, WA 98405-2047 | 2015-10-16 |
| 1124331558 | Sightcare, Inc | Clinic/Center | 4620 Pacific Ave, Tacoma, WA 98408-7738 | 2010-07-14 |
| 1831303999 | Community Health Care | Clinic/Center | 1708 E 44th St, Tacoma, WA 98404-4611 | 2007-05-09 |
| 1316167026 | Community Health Care | Clinic/Center | 11225 Pacific Ave S, Tacoma, WA 98444-5525 | 2007-04-26 |
| 1508086901 | Community Health Care | Clinic/Center | 2342 Tacoma Ave S, Tacoma, WA 98402-1408 | 2007-04-26 |
| Find all providers in TACOMA | ||||
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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.