Organization Name: | SEA-MAR COMMUNITY HEALTH CENTER |
NPI Number: | 1023201076 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGELIO RIOJAS (EXECUTIVE DIRECTOR) |
Mailing Address: | 1010 E College Way Mount Vernon |
State: | WA US |
Postal Code: | 982735624 |
Phone Number: | 3604288912 |
Fax Number: | 3604246288 |
NPI Enumeration Date: | 08/23/2007 |
NPI Last Update Date: | 03/29/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QR0405X |
License Number: | 6 H80CS00 455-05-03 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Rehabilitation, Substance Use Disorder |
Taxonomy Definition: |