SEA MAR COMMUNITY HEALTH CENTERS NPI 1972136646

NPI Information

NPI: 1972136646
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS

Other Name: SEA MAR CHC LAKEWOOD BEHAVIORAL HEALTH

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
7424 BRIDGEPORT WAY W STE 305&307
LAKEWOOD, WA
ZIP 98499
Phone: (253) 246-6820
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SEA MAR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Lakewood, WA. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1972136646. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sea Mar Chc Lakewood Behavioral Health.

The provider's business location address is:

7424 BRIDGEPORT WAY W STE 305&307
LAKEWOOD, WA
ZIP 98499-120
Phone: (253) 246-6820
Fax: (253) 246-6839

The provider's authorized official is Rogelio Riojas .
The authorized official title is Ceo and has the following contact phone number (206) 763-5277.

The enumeration date for this NPI number is 2/20/2020 and was last updated on 3/12/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	Primary
1	101Y00000X	Counselor		No
2	101YA0400X	Counselor	Addiction (Substance Use Disorder)	No
3	101YM0800X	Counselor	Mental Health	No
4	103T00000X	Psychologist		No
5	103TA0400X	Psychologist	Addiction (Substance Use Disorder)	No
6	103TC1900X	Psychologist	Counseling	No
7	104100000X	Social Worker		No
8	106H00000X	Marriage & Family Therapist		No
9	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
10	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	2154366	MEDICAID	WASHINGTON

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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