SEA MAR COMMUNITY HEALTH CENTERS (NPI# 1902414618) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902414618 |
| Entity Type | Organization |
| Organization Name | SEA MAR COMMUNITY HEALTH CENTERS |
| Practice Address |
6221 Ne Fourth Plain Blvd Apt 130 Vancouver WA 98661-7210 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 3608310908 |
| Mailing Telephone | 2536816601 |
| Mailing Fax Number | 2536816641 |
| Enumeration Date | 2020-07-20 |
| Last Update Date | 2020-07-20 |
| Authorized Official Name | RACHEL WOODLAND (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2536816601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities | ||
| N | 261QM0850X |
Clinic/Center Specialization: Adult Mental Health |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1942826268 | Sea Mar Community Health Centers | Clinic/Center | 202 Cross St Se, Auburn, WA 98002-5406 | 2020-06-23 |
| 1932725256 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw, Lynnwood, WA 98036-4613 | 2020-06-23 |
| 1922624642 | Sea Mar Community Health Centers | Clinic/Center | 225 176th St S, Spanaway, WA 98387-9201 | 2020-06-18 |
| 1972040772 | Sea Mar Community Health Centers | Clinic/Center | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2017-01-31 |
| 1982141784 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| 1336686138 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEA MAR COMMUNITY HEALTH CENTERS | 1040 S Henderson St, Seattle, WA 98108 |
| Street Address |
6221 NE FOURTH PLAIN BLVD APT 130 |
| City | VANCOUVER |
| State | WA |
| Zip Code | 98661-7210 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1295395267 | Nicola R Cook | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-06-20 |
| 1699385393 | Kylie Sanders | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-08-06 |
| 1700401197 | Suzana Dzyuba | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-06-11 |
| 1043834963 | Alexander T Raines | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-06-05 |
| 1194348045 | Darren Michael Haney | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-05-27 |
| 1194351619 | Ashley Weaver | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-03-16 |
| 1194370965 | Timothy J Wilson Jr. | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-08-07 |
| 1508427725 | Rachel J Neer | Counselor | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2019-06-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982228417 | Cynthia Ann Holt | Social Worker | 4608 Ne 47 Street, Vancouver, WA 98661 | 2020-06-01 |
| 1235793027 | James Dostert | Counselor | 1601 E 4th Blvd. Bldg. 17, Ste A212, Vancouver, WA 98661 | 2019-04-26 |
| 1306305289 | Kathryn Susanne Scott | Social Worker | Attn: Kathryn Scott, V3cnh, 1601 E. Fourth Plain Blvd., Vancouver, WA 98661 | 2019-03-19 |
| 1952860637 | Alice Rogers | Occupational Therapist | Vancouver Public Schools, 2901 Falk Rd., Vancouver, WA 98661 | 2019-03-13 |
| 1053878538 | Paula Moore | Counselor | 9626 Ne Fourth Plain Blvd, Vancouver, WA 98661 | 2019-02-21 |
| 1558825729 | Cassandra Marie Nichols | Counselor | 1601 E 4th Blvd, Vancouver, WA 98661 | 2019-01-22 |
| 1548734148 | Lisa Kelly | Counselor | 1601 E 4th Blvd., Vancouver, WA 98661 | 2019-01-16 |
| 1518444025 | Columbia Pharmacy | Pharmacy | 2700 Ne Andresen Rd Ste E3, Vancouver, WA 98661 | 2018-07-26 |
| 1023505229 | Ellen Barbour | Counselor | 1601 E 4th Plain Blvd Bldg. 17, Ste A212, Vancouver, WA 98661 | 2018-04-13 |
| 1679096325 | Brian Scott Coleman | Counselor | 1601 East Fourth Plain Blvd., Bldg #17, Ste. A212, Vancouver, WA 98661 | 2017-07-24 |
| Find all providers in zip 98661 | ||||
| Taxonomy Code | 261QM0801X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Mental Health (Including Community Mental Health Center) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457987752 | Sea - Mar Community Health Center | Clinic/Center | 14300 Ne 18th St Rm 213, Vancouver, WA 98684-7807 | 2020-03-18 |
| 1295372670 | Playworks Counseling, LLC | Clinic/Center | 4420 Ne St Johns Rd Ste D, Vancouver, WA 98661-2561 | 2019-12-04 |
| 1386293850 | Ed Behavioral Health Solutions LLC | Clinic/Center | 4000 Ne 109th Ave Unit 86, Vancouver, WA 98682-5720 | 2019-09-08 |
| 1356901094 | Nicole Hagerty Counseling LLC | Clinic/Center | 2727 E Evergreen Blvd Ste B, Vancouver, WA 98661-4900 | 2019-06-15 |
| 1700344298 | Wild Heart Society Pllc | Clinic/Center | 15604 Ne 28th Ave, Vancouver, WA 98686-1541 | 2019-03-04 |
| 1932473238 | Associates for Psychiatric & Mental Health, LLC | Clinic/Center | 2600 F Street, Vancouver, WA 98663 | 2012-03-04 |
| 1013051606 | Wchs, Inc. | Clinic/Center | 2009 Ne 117th Street, Ste. 101, Vancouver, WA 98686-4022 | 2007-02-16 |
| 1700407582 | Cullins Psychological and Counseling Services | Clinic/Center | 9120 Ne Vancouver Mall Loop Ste 261, Vancouver, WA 98662-6391 | 2020-05-02 |
| 1891325551 | Four Elements Behavioral Health Corp | Clinic/Center | 1104 Main St Ste M110, Vancouver, WA 98660-2980 | 2020-01-22 |
| 1669038543 | Sea - Mar Community Health Center | Clinic/Center | 1601 E Fourth Plain Blvd Bldg 17, Vancouver, WA 98661-3717 | 2019-05-15 |
| Find all providers in VANCOUVER | ||||
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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.