Organization Name: | SEA-MAR COMMUNITY HEALTH CENTER |
NPI Number: | 1992966915 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | ROGELIO RIOJAS (EXECUTIVE DIRECTOR) |
Mailing Address: | 6884 Hannegan Rd Everson |
State: | WA US |
Postal Code: | 982479637 |
Phone Number: | 3603540766 |
Fax Number: | 3603547667 |
NPI Enumeration Date: | 06/23/2008 |
NPI Last Update Date: | 03/31/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QH0100X |
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: | Health Service |
Taxonomy Definition: |