SEA - MAR COMMUNITY HEALTH CENTER (NPI# 1407492085) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407492085 |
| Entity Type | Organization |
| Organization Name | SEA - MAR COMMUNITY HEALTH CENTER |
| Practice Address |
7424 Bridgeport Way W Lakewood WA 98499-8120 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2535812111 |
| Practice Fax Number | 2535812712 |
| Mailing Telephone | 2536816601 |
| Mailing Fax Number | 2536816641 |
| Enumeration Date | 2019-11-19 |
| Last Update Date | 2019-11-19 |
| 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 | 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 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1114537768 | Sea - Mar Community Health Center | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 1040 S Henderson St Fl 3, Seattle, WA 98108-4720 | 2020-08-07 |
| 1457987752 | Sea - Mar Community Health Center | Clinic/Center | 14300 Ne 18th St Rm 213, Vancouver, WA 98684-7807 | 2020-03-18 |
| 1538795844 | Sea - Mar Community Health Center | Clinic/Center | 9635 Des Moines Memorial Dr Ste 210, Seattle, WA 98108-5061 | 2020-03-18 |
| 1356984355 | Sea - Mar Community Health Center | Clinic/Center | 1112 6th Ave Ste 301, Tacoma, WA 98405-4048 | 2019-10-22 |
| 1013577261 | Sea - Mar Community Health Center | Counselor | 735 12th St Se Fl 1, Auburn, WA 98002-6709 | 2019-06-19 |
| 1083179154 | Sea - Mar Community Health Center | Pediatrics | 9635 Des Moines Memorial Dr, Seattle, WA 98108-5061 | 2019-02-04 |
| 1265950521 | Sea - Mar Community Health Center | Clinic/Center | 9650 15th Ave Sw # 100, Seattle, WA 98106-2820 | 2017-09-06 |
| 1780086686 | Sea - Mar Community Health Center | Counselor | 7424 Bridgeport Way W Ste 305&307, Lakewood, WA 98499-8120 | 2014-09-23 |
| 1972606333 | Sea - Mar Community Health Center | Pharmacy | 7438 S D Ave, Ste C, Concrete, WA 98237-9642 | 2006-09-07 |
| 1699394767 | Sea - Mar Community Health Center | Clinic/Center | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2020-04-09 |
| Street Address |
7424 BRIDGEPORT WAY W |
| City | LAKEWOOD |
| State | WA |
| Zip Code | 98499-8120 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1306820204 | Angela E Sison | Audiologist | 7424 Bridgeport Way W, Suite 305, Lakewood, WA 98499-8120 | 2005-12-04 |
| 1699394767 | Sea - Mar Community Health Center | Clinic/Center | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2020-04-09 |
| 1346809308 | Sea - Mar Community Health Center | Family Medicine | 7424 Bridgeport Way W, Lakewood, WA 98499-8120 | 2019-06-12 |
| 1528418936 | Laboratory Corporation of America | Clinical Medical Laboratory | 7424 Bridgeport Way W, Suite 201, Lakewood, WA 98499-8120 | 2016-06-16 |
| 1144403007 | Ear, Nose and Throat Associates of Tacoma, Ps | Specialist | 7424 Bridgeport Way W, #305, Lakewood, WA 98499-8120 | 2007-12-13 |
| 1134343775 | Oral Surgery Northwest | Dentist | 7424 Bridgeport Way W, Suite 311, Lakewood, WA 98499-8120 | 2007-04-13 |
| 1902955479 | Darlene Mumby Wood | Counselor | 7424 Bridgeport Way W, Suite 309, Lakewood, WA 98499-8120 | 2007-01-10 |
| 1922156645 | Penny Leah Tanner | Counselor | 7424 Bridgeport Way W, Suite 302, Lakewood, WA 98499-8120 | 2007-01-08 |
| 1770694713 | Lakewood Pediatric Associates, Pllc | Pediatrics | 7424 Bridgeport Way W, Ste 103, Lakewood, WA 98499 | 2006-08-31 |
| 1255347910 | Keith Allen Weissinger | Pediatrics | 7424 Bridgeport Way W, Suite 103, Lakewood, WA 98499-8120 | 2006-08-01 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
| 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 |
| 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.