Organization Name: | SEA-MAR COMMUNITY HEALTH CENTER |
NPI Number: | 1033399928 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGELIO RIOJAS (EXECUTIVE DIRECTOR) |
Mailing Address: | 19707 44th Ave W Ste 101 Lynnwood |
State: | WA US |
Postal Code: | 980366757 |
Phone Number: | 4259772560 |
Fax Number: | 4259772561 |
NPI Enumeration Date: | 11/07/2007 |
NPI Last Update Date: | 03/12/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM0801X |
License Number: | 600 537 278 1 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | WA |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Mental Health (Including Community Mental Health Center) |
Taxonomy Definition: |