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SEA MAR COMMUNITY HEALTH CENTERS NPI 1285783480


NPI Information

NPI: 1285783480
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS

Other Name: SEA MAR CHC EVERETT CHILD AND FAMILY SERVICES

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
5007 CLAREMONT WAY
EVERETT, WA
ZIP 98203
Phone: (425) 347-5415
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SEA MAR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Everett, WA. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1285783480. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sea Mar Chc Everett Child And Family Services.

The provider's business location address is:

5007 CLAREMONT WAY
EVERETT, WA
ZIP 98203-321
Phone: (425) 347-5415
Fax: (425) 347-2976

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 1/9/2007 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YM0800XCounselorMental HealthNo
2106H00000XMarriage & Family TherapistNo
3251B00000XCase ManagementNo
4251S00000XCommunity/Behavioral HealthNo
5261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)6005372781WASHINGTONYes
6261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
7261QM2800XClinic/CenterMethadoneNo
8261QR0405XClinic/CenterRehabilitation, Substance Use DisorderNo

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11006904MEDICAIDWASHINGTON

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.