SEA MAR COMMUNITY HEALTH CENTER (NPI# 1770933640) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1770933640 |
Entity Type | Organization |
Organization Name | SEA MAR COMMUNITY HEALTH CENTER |
Practice Address |
19005 Se 34th St Building 3 Vancouver WA 98683-1450 |
Mailing Address |
8801 14th Ave S Seattle WA 98108-4809 |
Practice Telephone | 2064742001 |
Mailing Telephone | 2064742001 |
Enumeration Date | 2016-06-21 |
Last Update Date | 2016-06-21 |
Authorized Official Name | ROGELIO RIOJAS (CEO) |
Authorized Official Telephone | 2067635277 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
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 |
19005 SE 34TH ST BUILDING 3 |
City | VANCOUVER |
State | WA |
Zip Code | 98683-1450 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1932370756 | Joanne M Wallis | Nurse Practitioner | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2008-03-19 |
1841842093 | Tasia Davis | Dental Hygienist | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2019-07-09 |
1598235954 | Kristen Lee Funk-tracy | Counselor | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2018-11-28 |
1760995179 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-11-07 |
1083153233 | Sea-mar Community Health Center | Pharmacy | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-21 |
1801335617 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-14 |
1629517438 | Sea-mar Community Health Center | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2017-02-14 |
1770025363 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Vancouver, WA 98683-1450 | 2016-11-14 |
1255883260 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Building 3, Vancouver, WA 98683-1450 | 2016-10-26 |
1770934929 | Sea Mar Community Health Centers | Clinic/Center | 19005 Se 34th St, Building 3, Vancouver, WA 98683-1450 | 2016-06-29 |
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NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1235761222 | Nathaniel James Eugene Powell | Behavior Technician | 4101se 192nd Ave, Ste 101, Vancouver, WA 98683 | 2020-02-07 |
1295294973 | Ubmhc1, LLC | Clinical Medical Laboratory | 18110 Southeast 34th St, Building 2, Suite 240, Vancouver, WA 98683 | 2019-03-13 |
1982116695 | Amy K Adams | Massage Therapist | 2716 Se 169th Ave, X-232, Vancouver, WA 98683 | 2017-11-03 |
1477088920 | Alexandra Ransonet | Dental Hygienist | 19111 Se 34th. St., Vancouver, WA 98683 | 2017-04-21 |
1639618630 | Digestive Gi Care | Internal Medicine | 305 Sw Chkalov Dr, 111-140, Vancouver, WA 98683 | 2017-02-23 |
1447706742 | Jennifer Horst | Massage Therapist | 3401 Se 192nd. Ave. Suite 107, Vancouver, WA 98683 | 2016-08-28 |
1154702728 | Kacie Marie Hamreus | Physician Assistant | 3101 Se 192nd Avenue, Vancouver, WA 98683 | 2015-06-09 |
1851782338 | Kathryn Wiedeman | Physical Therapy Assistant | 801 Se Park Crestt Ave, Vancouver, WA 98683 | 2015-02-05 |
1407255326 | Jesse Ryan Moses | Dentist | 16600 Se 15th Street, Suite A, Vancouver, WA 98683 | 2014-08-15 |
1366869893 | Stephen J Wold II | Podiatrist | 16701 Ne Mcgillivray Blvd, Ste 220, Vancouver, WA 98683 | 2014-03-21 |
Find all providers in zip 98683 |
Taxonomy Code | 261QM2500X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Medical Specialty |
An entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). |
Notes: [7/1/2003: new] |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1477097251 | Cynthia D Gray Md PC | Clinic/Center | 2101 Ne 139th St Ste 285, Vancouver, WA 98686-2326 | 2016-12-13 |
1477928232 | Gregory D Strebel Do LLC | Clinic/Center | 1409 Franklin St, Suite 103, Vancouver, WA 98660-2899 | 2015-12-04 |
1184040255 | Pivot Health Acupuncture | Clinic/Center | 14201 Ne 20th Ave, Ste #1102, Vancouver, WA 98686-6410 | 2014-03-12 |
1245597095 | Tanner John Barlow | Clinic/Center | 1610 C St, Suite 103, Vancouver, WA 98663-3400 | 2012-04-18 |
1750664835 | Calm Spirit Wellness Clinic, LLC | Clinic/Center | 16500 Se 15th St, Suite 160, Vancouver, WA 98683-9665 | 2011-09-24 |
1407148653 | Absolute Health & Wellness | Clinic/Center | 16703 Se Mcgillivray Blvd, Suite 215, Vancouver, WA 98683-4300 | 2011-05-06 |
1124350814 | Tamme Davis, D.o., Pllc | Clinic/Center | 11801 Ne 65th St, Suite A, Vancouver, WA 98662-5527 | 2010-02-04 |
1992938906 | Dermatology Associates of Southwest Washington, Pllc | Clinic/Center | 8614 E Mill Plain Blvd, Suite 400, Vancouver, WA 98664-2059 | 2009-08-25 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1619592946 | Inner Vitality Pllc | Clinic/Center | 11711 Ne 12th St Ste 1a, Bellevue, WA 98005-2461 | 2020-06-12 |
1578057337 | Regenerative Medicine Northwest | Clinic/Center | 1260 116th Ave Ne Ste 200, Bellevue, WA 98004-3800 | 2018-06-15 |
1154837854 | Pacific Northwest Lactation, LLC | Clinic/Center | 708 S Cushman Ave, Tacoma, WA 98405-3625 | 2017-12-18 |
1275052458 | Peninsula Spine Institute, Ps | Clinic/Center | 804 Callahan Dr Ste A, Bremerton, WA 98310-3307 | 2017-09-19 |
1811377484 | Knead To Heal, LLC | Clinic/Center | 2312 Rucker Ave, Everett, WA 98201-2723 | 2015-06-09 |
1699185348 | Duane Fredrick Hopp | Clinic/Center | 22612 126th Ave E, Graham, WA 98338-6725 | 2014-05-03 |
1689919292 | Poma Fertility, LLC | Clinic/Center | 12039 Ne 128th St Ste 110, Kirkland, WA 98034-3030 | 2012-12-07 |
1275888232 | Massage Mundo | Clinic/Center | 423 Eastlake Ave E, Seattle, WA 98109-5408 | 2012-07-16 |
1144536079 | 3-d Diagnostics, LLC | Clinic/Center | 2616 Yelm Hwy Se Ste A, Olympia, WA 98501-0800 | 2010-08-30 |
1588982060 | Assured Imaging Womens Wellness of Washington, LLC | Clinic/Center | 565 Andover Park W Ste 110, Tukwila, WA 98188-3357 | 2010-05-10 |
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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.