SEA-MAR COMMUNITY HEALTH CENTER (NPI# 1528116191) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1528116191 |
| Entity Type | Organization |
| Organization Name | SEA-MAR COMMUNITY HEALTH CENTER |
| Practice Address |
24215 Pacific Hwy S Des Moines WA 98198-4024 |
| Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
| Practice Telephone | 2068787393 |
| Practice Fax Number | 2068707397 |
| Mailing Telephone | 2067643335 |
| Mailing Fax Number | 2067640489 |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2010-04-12 |
| Authorized Official Name | MARY BARTOLO (DEPUTY DIRECTOR) |
| Authorized Official Telephone | 2067883224 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 324500000X | Substance Abuse Rehabilitation Facility | Residential Treatment Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
6005372781 | WA | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336797273 | Sea-mar Community Health Center | Dentist | 6004 Capitol Ave Sw, Tumwater, WA 98501 | 2019-09-03 |
| 1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
| 1801372768 | Sea-mar Community Health Center | Pharmacy | 9650 15th Ave Sw Suite #100, Seattle, WA 98106 | 2018-07-13 |
| 1912410523 | Sea-mar Community Health Center | Clinic/Center | 14508 Ne 20th Ave Ste 2, Vancouver, WA 98686-6434 | 2017-11-06 |
| 1427561018 | Sea-mar Community Health Center | Clinic/Center | 3560 Bridgeport Way W Ste 1a, University Place, WA 98466-4446 | 2017-11-06 |
| 1649783259 | Sea-mar Community Health Center | Clinic/Center | 10217 125th Street Ct E Ste 300, Puyallup, WA 98374-2761 | 2017-11-06 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1881062362 | Sea-mar Community Health Center | Substance Abuse Rehabilitation Facility | 113 23rd Ave S, Seattle, WA 98144-2309 | 2015-09-14 |
| 1801204078 | Sea-mar Community Health Center | Clinic/Center | 14916 Washington Ave Sw, Lakewood, WA 98498-2271 | 2014-07-31 |
| 1366792707 | Sea-mar Community Health Center | Clinic/Center | 1920 100th Street Ne, Everett, WA 98208 | 2012-09-13 |
| Street Address |
24215 PACIFIC HWY S |
| City | DES MOINES |
| State | WA |
| Zip Code | 98198-4024 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1386694982 | Jai Jun Byeon | Family Medicine | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2006-05-12 |
| 1649646795 | Kip Nielsen | Dentist | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2015-08-12 |
| 1982022356 | Rebecca Nebel | Nurse Practitioner | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2014-04-02 |
| 1053743716 | Lisa M Gillette | Nurse Practitioner | 24215 Pacific Hwy S, Des Moines, WA 98198-4024 | 2013-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194273367 | Lisa Adams | Occupational Therapy Assistant | 933 S 262nd Pl, Des Moines, WA 98198 | 2016-09-16 |
| 1356894125 | Melissa Pearson | Nurse Practitioner | 1826 S 250th Pl, Des Moines, WA 98198 | 2016-07-28 |
| 1528432010 | Sea-mar Community Health Center | Dentist | 2781 South 242nd St, Seattle, WA 98198 | 2015-11-20 |
| 1578944864 | Alexander Stephen Topor | Dentist | 26401 Pacific Hwy S.#201, Des Moines, WA 98198 | 2015-06-12 |
| 1942699301 | Sunshine Luzano Yap | Occupational Therapy Assistant | 23600 Marine View Dr. S., Des Moines, WA 98198 | 2015-01-22 |
| 1326481136 | Mylinh Nguyen | Pharmacist | 21615 Pacific Highway So., Des Moines, WA 98198 | 2013-04-10 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1023318615 | Andrew Francis Torres | Physical Therapy Assistant | 2800 South 224th St., Des Moines, IA 98198 | 2010-10-28 |
| 1194032896 | Brigitte Rey Wagner | Physical Therapy Assistant | 815 S 216th St, Wesley Home, Des Moines, WA 98198 | 2010-09-02 |
| Find all providers in zip 98198 | ||||
| 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 |
|---|---|---|---|---|
| 1174139158 | Primary Health Care, Inc. | Clinic/Center | 2401 Se 14th St, Des Moines, IA 50320-1111 | 2020-09-16 |
| 1598204182 | Primary Health Care, Inc. | Clinic/Center | 4800 Aurora Ave, Des Moines, IA 50310-2903 | 2017-02-16 |
| 1922351527 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 101, Des Moines, WA 98198 | 2012-10-19 |
| 1326316142 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198 | 2011-12-07 |
| 1871716498 | Primary Health Care, Inc. | Clinic/Center | 1420 Mulberry St, Des Moines, IA 50309-3618 | 2007-04-11 |
| 1679012488 | Sea-mar Community Health Center | Clinic/Center | 2781 S 242nd St, Des Moines, WA 98198-5166 | 2017-02-14 |
| 1720539091 | Primary Health Care, Inc. | Clinic/Center | 1200 University Ave, Ste 100, Des Moines, IA 50314-2355 | 2016-10-20 |
| 1083086359 | Primary Health Care, Inc. | Clinic/Center | 1800 Grand Ave, Des Moines, IA 50309-3310 | 2015-10-27 |
| 1316379845 | Primary Health Care, Inc. | Clinic/Center | 250 Laurel St, Des Moines, IA 50314-3024 | 2013-08-07 |
| 1477807261 | Healthpoint | Clinic/Center | 26401 Pacific Hwy S., Suite 201, Des Moines, WA 98198 | 2012-11-01 |
| Find all providers in DES MOINES | ||||
| City | DES MOINES |
| Zip Code | 98198 |
Please comment or provide details below to improve the information on SEA-MAR COMMUNITY HEALTH CENTER.
| 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.