SEA-MAR COMMUNITY HEALTH CENTER (NPI# 1922547637) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922547637 |
| Entity Type | Organization |
| Organization Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Other Organization Name | SEA MAR CHC DENTAL |
| Practice Address |
4111 Alderwood Mall Blvd Lynnwood WA 98036-6765 |
| 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 |
|---|---|---|---|---|---|
| N | 261QD0000X |
Clinic/Center Specialization: Dental |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sea Mar CHC Dental | 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 |
4111 ALDERWOOD MALL BLVD |
| City | LYNNWOOD |
| State | WA |
| Zip Code | 98036-6765 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033399928 | Sea-mar Community Health Center | Clinic/Center | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2007-11-07 |
| 1831721646 | Diana Arias | Counselor | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2020-02-10 |
| 1205471059 | Bianca Reis | Registered Nurse | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2019-11-14 |
| 1497218572 | Ryan Ciganek | Counselor | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2019-04-07 |
| 1518429406 | Julie Roberts | Counselor | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2019-04-01 |
| 1902363245 | Sergio Lustre | Case Manager/Care Coordinator | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2019-02-22 |
| 1457841876 | Vanessa Waldron | Counselor | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2018-05-10 |
| 1295274892 | Sea-mar Community Health Center | Clinic/Center | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2017-02-15 |
| 1932648532 | Sea-mar Community Health Center | Clinic/Center | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2017-02-15 |
| 1649676685 | Emma Sando | Social Worker | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2014-11-18 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396342630 | Zachary Perry | Behavior Technician | 4100 Veterans Way, Unit 100, Lynnwood, WA 98036 | 2020-10-08 |
| 1942832795 | Alexis Michelle Solomon-winne | Behavior Technician | 4100 Veterans Way Unit 100 Lynnwood, Wa 98036 United S, Lynnwood, WA 98036 | 2020-02-10 |
| 1881239028 | Endc Pllc | Psychologist | 19217 36th Ave W. Suite 219, Lynnwood, WA 98036 | 2019-11-12 |
| 1225507866 | Kyung Suk Seo | Massage Therapist | 18904 Hwy 99, Ste. K, Lynnwood, WA 98036 | 2018-11-13 |
| 1790270197 | Kabal Sriviboon | Behavior Technician | 20818 44th Ave W Suite 270, Lynnwood, WA 98036 | 2018-06-27 |
| 1992206148 | Kendal Ilyse Borison | Behavioral Analyst | 4100 194th Se, Suite 100, Lynnwood, WA 98036 | 2018-02-23 |
| 1205352515 | Doug Brant | Registered Nurse | 19931 Cypress Way, Lynnwood, WA 98036 | 2017-08-17 |
| 1588184980 | Evergreen Recovery Centers-lynnwood Detox | Substance Abuse Rehabilitation Facility | 20508 56th Ave W, Lynnwood, WA 98036 | 2017-06-27 |
| 1699213439 | Patrick J. Pacyga | Dentist | 19620 Wa-99, Suite 106, Lynnwood, WA 98036 | 2017-02-01 |
| 1134676646 | Fiona Green | Occupational Therapy Assistant | 21503 8th Place W, A, Lynnwood, WA 98036 | 2016-09-01 |
| Find all providers in zip 98036 | ||||
| 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 |
|---|---|---|---|---|
| 1932648532 | Sea-mar Community Health Center | Clinic/Center | 4111 Alderwood Mall Blvd, Lynnwood, WA 98036-6765 | 2017-02-15 |
| 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.