Organization Name: | SEA-MAR COMMUNITY HEALTH CENTER |
NPI Number: | 1760644926 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGELIO RIOJAS (EXECUTIVE DIRECTOR) |
Mailing Address: | 19655 1st Ave S Suite 101 Normandy Park |
State: | WA US |
Postal Code: | 981482166 |
Phone Number: | 2068706118 |
Fax Number: | 2068706120 |
NPI Enumeration Date: | 06/30/2008 |
NPI Last Update Date: | 04/01/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QC1500X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Community Health |
Taxonomy Definition: |