SEA MAR COMMUNITY HEALTH CENTERS (NPI# 1275159592) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275159592 |
| Entity Type | Organization |
| Organization Name | SEA MAR COMMUNITY HEALTH CENTERS |
| Practice Address |
5700 100th Street Se Suite 510 Lakewood WA 98499 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2536816601 |
| Practice Fax Number | 2536816641 |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2020-06-23 |
| Authorized Official Name | RACHEL WOODLAND (CREDENTIALING SPECIALIST) |
| Authorized Official Telephone | 2536816601 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM2500X |
Clinic/Center Specialization: Medical Specialty |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275145682 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw Ste 120, Lynnwood, WA 98036-4613 | 2020-08-18 |
| 1861922387 | Sea Mar Community Health Centers | Pharmacy | 31405 18th Ave South, Federal Way, WA 98003 | 2017-06-18 |
| 1598190597 | Sea Mar Community Health Centers | Pharmacy | 1920 100th St Se Ste B, Everett, WA 98208-3832 | 2013-09-09 |
| 1902414618 | Sea Mar Community Health Centers | Clinic/Center | 6221 Ne Fourth Plain Blvd Apt 130, Vancouver, WA 98661-7210 | 2020-07-20 |
| 1942826268 | Sea Mar Community Health Centers | Clinic/Center | 202 Cross St Se, Auburn, WA 98002-5406 | 2020-06-23 |
| 1932725256 | Sea Mar Community Health Centers | Clinic/Center | 4100 194th St Sw, Lynnwood, WA 98036-4613 | 2020-06-23 |
| 1922624642 | Sea Mar Community Health Centers | Clinic/Center | 225 176th St S, Spanaway, WA 98387-9201 | 2020-06-18 |
| 1972040772 | Sea Mar Community Health Centers | Clinic/Center | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2017-01-31 |
| 1982141784 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| 1336686138 | Sea Mar Community Health Centers | Clinic/Center | 1307 S 11th St, Tacoma, WA 98405-3644 | 2017-01-31 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Washington State Corporations | SEA MAR COMMUNITY HEALTH CENTERS | 1040 S Henderson St, Seattle, WA 98108 |
| Street Address |
5700 100TH STREET SE SUITE 510 |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568018828 | Heather Leigh Andrade | Behavioral Analyst | 6210 75th St W Ste 100, Lakewood, WA 98499 | 2019-08-13 |
| 1043870876 | Seoul Chinese Herbs Inc | Acupuncturist | 8705 S. Tacoma Way, Lakewood, WA 98499 | 2019-06-14 |
| 1013572064 | Puget Sound Kidney Centers | Clinic/Center | 11950 47th Ave Sw, Lakewood, WA 98499 | 2019-05-06 |
| 1447736657 | Marcela Cunan | Counselor | 9330 59th Avenue Southest, Lakewood, WA 98499 | 2018-07-11 |
| 1609382381 | Leroy Moore IIi | Counselor | 8811 S. Tacoma Way, 106, Lakewood, WA 98499 | 2017-12-18 |
| 1578077657 | Andrea Gaston | Behavior Technician | 8815 S. Tacoma Way, Suite 122, Lakewood, WA 98499 | 2017-11-27 |
| 1609389931 | Jennifer King | Social Worker | 5900 100th St Sw Ste 17b, Lakewood, WA 98499 | 2017-11-08 |
| 1750806337 | Wonyoung Lee | Counselor | 8811 South Tacoma Way, Suite 106, Lakewood, WA 98499 | 2017-08-04 |
| 1043749443 | Frederick Paltron Edwards | Counselor | 9500 Front Street, Suite 100, Lakewood, WA 98499 | 2017-06-08 |
| 1326402025 | Gabrielle T Folino | Counselor | 10116 36 Ave. Ct. Sw, Lakewood, WA 98499 | 2016-04-08 |
| Find all providers in zip 98499 | ||||
| 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 |
|---|---|---|---|---|
| 1861014805 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 S Teller St Fl 4, Lakewood, CO 80235-2014 | 2020-05-13 |
| 1033755392 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 W 2nd Pl # 200, Lakewood, CO 80228-1506 | 2019-11-21 |
| 1518437474 | Lakewood Resource and Referral Center, Inc. | Clinic/Center | 485 Locust St, Lakewood, NJ 08701-5896 | 2018-12-04 |
| 1679931646 | Metro Community Provider Network, Inc. | Clinic/Center | 3595 South Teller Street, Lakewood, CO 80235-2014 | 2016-02-05 |
| 1114213972 | Metro Community Provider Network, Inc. | Clinic/Center | 12055 West 2nd Place, Lakewood, CO 80228-1506 | 2011-06-21 |
| 1558526418 | Metro Community Provider Network, Inc. | Clinic/Center | 8755 West 14th Avenue, Lakewood, CO 80215-4863 | 2008-07-21 |
| 1437314481 | Metro Community Provider Network, Inc. | Clinic/Center | 1255 South Wadsworth Blvd., Lakewood, CO 80232-5406 | 2008-07-18 |
| 1992965420 | Metro Community Provider Network, Inc. | Clinic/Center | 8500 West Colfax Avenue, Lakewood, CO 80215-4011 | 2008-06-09 |
| 1699778233 | The Lakes Community Health Center, Inc | Clinic/Center | 15397 State Highway 32, Lakewood, WI 54138-9702 | 2005-05-27 |
| 1710980917 | Ocean Health Initiatives | Clinic/Center | 101 2nd St, Lakewood, NJ 08701-3324 | 2005-05-23 |
| Find all providers in LAKEWOOD | ||||
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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.