SEA MAR COMMUNITY HEALTH CENTERS (NPI# 1972040772) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1972040772 |
Entity Type | Organization |
Organization Name | SEA MAR COMMUNITY HEALTH CENTERS |
Other Organization Name | SEA MAR COMMUNITY HEALTH CENTERS OCEAN SHORES BEHAVIORAL HEALTH |
Practice Address |
597 Point Brown Ave Nw Ocean Shores WA 98569-9632 |
Mailing Address |
Po Box 34703 Seattle WA 98124-1703 |
Practice Telephone | 2067643335 |
Mailing Telephone | 2067643335 |
Enumeration Date | 2017-01-31 |
Last Update Date | 2017-01-31 |
Authorized Official Name | MARY BARTOLO (EXECUTIVE VICE PRESIDENT) |
Authorized Official Telephone | 2067635277 |
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 | ||
Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
Other Name | Type Code |
---|---|
SEA MAR COMMUNITY HEALTH CENTERS OCEAN SHORES BEHAVIORAL HEALTH | Doing Business As Name - Organization |
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 |
1275159592 | Sea Mar Community Health Centers | Clinic/Center | 5700 100th Street Se, Suite 510, Lakewood, WA 98499 | 2020-06-23 |
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 |
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 |
597 POINT BROWN AVE NW |
City | OCEAN SHORES |
State | WA |
Zip Code | 98569-9632 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1487682688 | Michele A Hansen | Nurse Practitioner | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2006-06-28 |
1053830992 | Laura Ann Lopez | Dentist | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2017-09-12 |
1952831471 | Sea-mar Community Health Center | Pharmacy | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2017-06-18 |
1841739554 | Sea-mar Community Health Center | Clinic/Center | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2017-02-14 |
1760924351 | Sea Mar Community Health Centers | Clinic/Center | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2016-11-14 |
1639352883 | Coastal Family Medicine Inc. P.s. | Family Medicine | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2007-12-11 |
1326123555 | Alfred John Holm | Family Medicine | 597 Point Brown Ave Nw, Ocean Shores, WA 98569 | 2006-10-26 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1609146141 | Kristine Sue Tecco | Dietitian, Registered | 2590 Lone Tree Dr., Ocean City, WA 98569 | 2011-12-30 |
1083919146 | Nancy Timms | Counselor | 165 Pacific Ave Nw, North Coast Counseling, Ocean Shores, WA 98569 | 2011-01-21 |
1093040909 | Misty Amburgy | Massage Therapist | 548 Point Brown Ave Ne, Suite A, Ocean Shores, WA 98569 | 2009-10-09 |
1538312830 | Mary Lou Haase | Massage Therapist | 129 Goldeneye Street Sw, Ocean Shores, WA 98569 | 2008-10-30 |
1578782991 | City of Ocean Shores | Clinic/Center | 585 Pt. Brown Avenue Ne, Ocean Shores, WA 98569 | 2007-04-24 |
1568598118 | Emeritus Corporation | Assisted Living Facility | 1020 Catala Avenue Southeast, Brookdale Ocean Shores, Ocean Shores, WA 98569 | 2007-02-26 |
1093818643 | Charles Calvin Morgan | Dentist | 818 Point Brown Ave Ne, Ocean Shores, WA 98569 | 2006-09-07 |
1710462866 | Tara Lynn Castle | Massage Therapist | 848 Ocean Shores Blvd Nw, Ocean Shores, WA 98569 | 2018-09-25 |
1790136943 | Sea Mar Community Health Centers | Clinic/Center | 597 Point Brown Ave Ne, Ocean Shores, WA 98569 | 2016-06-29 |
1609116151 | Karla K Johnson | Massage Therapist | 848 Ocean Shores Blvd Nw, Ocean Shores, WA 98569 | 2013-02-20 |
Find all providers in zip 98569 |
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 |
---|---|---|---|---|
1841739554 | Sea-mar Community Health Center | Clinic/Center | 597 Point Brown Ave Nw, Ocean Shores, WA 98569-9632 | 2017-02-14 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447869342 | Unity Care Northwest | Clinic/Center | 6046 Portal Way Ste 202, Ferndale, WA 98248-7829 | 2020-07-27 |
1881219426 | Healthpoint | Clinic/Center | 2902 Ne 12th St Ste 102, Renton, WA 98056-3126 | 2020-06-09 |
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 |
1063069839 | Sea-mar Community Health Center | Clinic/Center | 6004 Capitol Boulevard Southwest, Tumwater, WA 98501-8520 | 2019-08-26 |
1194379354 | Yakima Neighborhood Health Services | Clinic/Center | 201 S 6th St, Yakima, WA 98901-2928 | 2019-07-26 |
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 |
1144703885 | Healthpoint | Clinic/Center | 219 State Ave N, Ste 100, Kent, WA 98030 | 2018-09-10 |
Find all providers with the same taxonomy |
City | OCEAN SHORES |
Zip Code | 98569 |
Please comment or provide details below to improve the information on SEA MAR COMMUNITY HEALTH CENTERS.
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.