SEA MAR COMMUNITY HEALTH CENTERS NPI 1710035449

NPI Information

NPI: 1710035449
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS

Other Name: SEA MAR CHC KENT BEHAVIORAL HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
25028 104TH AVE SE
KENT, WA
ZIP 98030
Phone: (206) 764-8019
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SEA MAR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Kent, WA. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1710035449. The provider is registered as an organization entity type.
The provider Other Name Is Sea Mar Chc Kent Behavioral Health.

The provider's business location address is:

25028 104TH AVE SE
KENT, WA
ZIP 98030-310
Phone: (206) 764-8019
Fax: (253) 480-2937

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	251S00000X	Community/Behavioral Health				No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	6005372781	WASHINGTON	Yes
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			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	1017029	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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