SEA MAR COMMUNITY HEALTH CENTERS NPI 1154886315

NPI Information

NPI: 1154886315
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS

Other Name: SEA MAR CHC - COMMUNITY SERVICES NORTHWEST - FOURTH PLAIN

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661
Phone: (206) 474-2001
Get Directions

SEA MAR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Vancouver, WA. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1154886315. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sea Mar Chc - Community Services Northwest - Fourth Plain.

The provider's business location address is:

1601 E FOURTH PLAIN BLVD BLDG 17
VANCOUVER, WA
ZIP 98661-717
Phone: (206) 474-2001
Fax: (206) 764-8005

The provider's authorized official is Rogelio Riojas .
The authorized official title is Ceo and has the following contact phone number (206) 763-5277.

The enumeration date for this NPI number is 2/1/2019 and was last updated on 3/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	103T00000X	Psychologist		No
5	103TB0200X	Psychologist	Cognitive & Behavioral	No
6	103TC1900X	Psychologist	Counseling	No
7	103TF0000X	Psychologist	Family	No
8	104100000X	Social Worker		No
9	106H00000X	Marriage & Family Therapist		No
10	2084A0401X	Psychiatry & Neurology	Addiction Medicine	No
11	2084P0800X	Psychiatry & Neurology	Psychiatry	No
12	2084P2900X	Psychiatry & Neurology	Pain Medicine	No
13	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
14	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
15	261QR0405X	Clinic/Center	Rehabilitation, Substance Use Disorder	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2127434	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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