SEA MAR COMMUNITY HEALTH CENTERS NPI 1982141784

NPI Information

NPI: 1982141784
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS

Other Name: SEA MAR CHC TACOMA BEHAVIORAL HEALTH - 11TH STREET

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1307 S 11TH ST
TACOMA, WA
ZIP 98405
Phone: (206) 764-3335
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SEA MAR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Tacoma, WA. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1982141784. The provider is registered as an organization entity type.
The provider Other Name Is Sea Mar Chc Tacoma Behavioral Health - 11th Street.

The provider's business location address is:

1307 S 11TH ST
TACOMA, WA
ZIP 98405-644
Phone: (206) 764-3335

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 1/31/2017 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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes
2	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	2076670	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

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