| Organization Name: | SEA-MAR COMMUNITY HEALTH CENTER |
| NPI Number: | 1881053353 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROGELIO RIOJAS (EXECUTIVE DIRECTOR) |
| Mailing Address: | 1710 Allen St Kelso |
| State: | WA US |
| Postal Code: | 986264907 |
| Phone Number: | 3602617020 |
| Fax Number: | 3602617030 |
| NPI Enumeration Date: | 02/12/2016 |
| NPI Last Update Date: | 02/12/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM0801X |
| License Number: | 600537278 |
| 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: | |