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SEA MAR COMMUNITY HEALTH CENTERS NPI 1366590770


NPI Information

NPI: 1366590770
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS

Other Name: SEA MAR CHC RENACER YOUTH TREATMENT CENTER

Classification: Substance Abuse Rehabilitation Facility - 3245S0500X
Entity Type: Organization

Specialization: Substance Abuse Treatment, Children

Address:
10001 17TH PL S
SEATTLE, WA
ZIP 98168
Phone: (206) 766-6960
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SEA MAR COMMUNITY HEALTH CENTERS is a substance abuse treatment and children substance abuse rehabilitation facility in Seattle, WA. The provider is a facility or distinct part of a facility for children that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of children with disorders in the use of drugs, alcohol, and other substances. Medical and supportive counseling services and education services are included. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1366590770. The provider is registered as an organization entity type.
The provider Other Name Is Sea Mar Chc Renacer Youth Treatment Center.

The provider's business location address is:

10001 17TH PL S
SEATTLE, WA
ZIP 98168-615
Phone: (206) 766-6960
Fax: (206) 766-6979

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 1/8/2007 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
1251B00000XCase ManagementNo
2261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)No
3261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
4261QM2800XClinic/CenterMethadoneNo
5261QR0400XClinic/CenterRehabilitationNo
6324500000XSubstance Abuse Rehabilitation FacilityNo
73245S0500XSubstance Abuse Rehabilitation FacilitySubstance Abuse Treatment, ChildrenYes

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
11008800MEDICAIDWASHINGTON

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

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