SEA-MAR COMMUNTIY HEALTH CENTER (NPI# 1255803599) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255803599 |
| Entity Type | Organization |
| Organization Name | SEA-MAR COMMUNTIY HEALTH CENTER |
| Practice Address |
9650 15th Ave Sw Seattle WA 98106-2820 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2069651055 |
| Practice Fax Number | 2069651032 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2018-12-27 |
| Last Update Date | 2018-12-27 |
| Authorized Official Name | JOLEE ANN ELIZABETH SANKEY (CREDENTIALING & ENROLLMENT SPVSR) |
| Authorized Official Telephone | 2064742001 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Sea-Mar White Center SUD | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407325368 | Sea-mar Communtiy Health Center | Counselor | 2203 Old Hwy 99 S, Mount Vernon, WA 98273-9009 | 2018-11-20 |
| 1023432903 | Sea-mar Communtiy Health Center | Clinic/Center | 202 Cullens St Nw, Yelm, WA 98597-9417 | 2014-02-12 |
| Street Address |
9650 15TH AVE SW |
| City | SEATTLE |
| State | WA |
| Zip Code | 98106-2820 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033287974 | Senait Y Abraham | Pediatrics | 9650 15th Ave Sw, Seattle, WA 98106-2820 | 2006-11-30 |
| 1992337299 | Alejandra Davalos | Counselor | 9650 15th Ave Sw, Seattle, WA 98106-2576 | 2020-02-05 |
| 1083257745 | Kathleen Leangen | Registered Nurse | 9650 15th Ave Sw, Seattle, WA 98106-2576 | 2019-10-24 |
| 1427615970 | Sea Mar Community Health Center | Dietitian, Registered | 9650 15th Ave Sw, Seattle, WA 98106-2576 | 2019-05-21 |
| 1205398682 | James Austin V | Registered Nurse | 9650 15th Ave Sw, Seattle, WA 98106-2576 | 2019-04-03 |
| 1033680806 | Stella Lorena Saucedo Saez | Counselor | 9650 15th Ave Sw, Seattle, WA 98106-2820 | 2018-12-05 |
| 1568931525 | Sea-mar Community Health Center | Clinic/Center | 9650 15th Ave Sw, Seattle, WA 98106-2820 | 2018-11-20 |
| 1306313366 | Christine Ma | Social Worker | 9650 15th Ave Sw, Seattle, WA 98106-2820 | 2018-10-29 |
| 1477039139 | Heather Julieta Diaz | Counselor | 9650 15th Ave Sw, Seattle, WA 98106-2820 | 2018-07-16 |
| 1295211142 | Margaret Brennan Boyle | Counselor | 9650 15th Ave Sw, Seattle, WA 98106-2820 | 2018-07-13 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1972062396 | Maria Rosario Rodriguez Nava | Marriage & Family Therapist | 4555 Deldrige Way S.w., Seattle, WA 98106 | 2019-03-15 |
| 1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
| 1093226094 | Marneil Bacelonia | Behavior Technician | 7145 18th Ave Sw, Seattle, WA 98106 | 2017-10-17 |
| 1124570106 | Lien Tran | Pharmacist | 4025 Delridge Way Sw, #400, Bartell Drugs, Seattle, WA 98106 | 2016-10-26 |
| 1326594078 | Alexander Caudle Lmp LLC | Massage Therapist | 3400 Harbor Ave Sw, Seattle, WA 98106 | 2016-08-31 |
| 1023438421 | Tabitha Zier | Massage Therapist | 9425 14th Ave Sw, Seattle, WA 98106 | 2014-04-24 |
| 1164864971 | William Castillo Jr. | Counselor | 1725 Roxbury Avenue Sw, Suite #5, Seattle, WA 98106 | 2013-07-22 |
| 1922373091 | Katie Marie Albinger | Massage Therapist | 5255 19th Avenue Southwest, Seattle, WA 98106 | 2012-03-21 |
| 1316220254 | Vui Thi Nguyen | Pharmacist | 9420 8th Ave Sw, Seattle, WA 98106 | 2011-09-27 |
| 1710296256 | Amanda Caitlin Preston | Dietitian, Registered | 4500 Delridge Way Sw #5, Seattle, WA 98106 | 2010-10-01 |
| Find all providers in zip 98106 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235778812 | Seattle Indian Health Board | Clinic/Center | 410 2nd Avenue Ext S, Seattle, WA 98104-2876 | 2019-12-31 |
| 1376185694 | Neighborcare Health | Clinic/Center | 2709 3rd Ave, Seattle, WA 98121-1217 | 2019-10-09 |
| 1295383958 | King County Finance | Clinic/Center | 908 Jefferson St Fl 11, Seattle, WA 98104-2433 | 2019-08-27 |
| 1881254449 | Neighborcare Health | Clinic/Center | 7101 62nd Ave Ne Ste 4, Seattle, WA 98115-7168 | 2019-06-17 |
| 1578028866 | Neighborcare Health | Clinic/Center | 2119 3rd Ave, Seattle, WA 98121-2333 | 2019-01-31 |
| 1073030508 | Neighborcare Health | Clinic/Center | 509 3rd Ave, Seattle, WA 98104-3282 | 2017-08-25 |
| 1144629908 | Neighborcare Health | Clinic/Center | 13555 Aurora Ave N, Seattle, WA 98133-7511 | 2014-08-18 |
| 1225461908 | Neighborcare Health | Clinic/Center | 2820 S Orcas St, Seattle, WA 98108-3066 | 2013-08-16 |
| 1184057150 | Neighborcare Health | Clinic/Center | 6760 34th Ave Sw, Seattle, WA 98126-4208 | 2013-08-14 |
| 1679825988 | Neighborcare Health | Clinic/Center | 7740 34th Ave Sw, Seattle, WA 98126-3503 | 2012-10-10 |
| Find all providers in SEATTLE | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.