SEA MAR COMMUNITY HEALTH CENTERS NPI 1881053353

NPI Information

NPI: 1881053353
Provider Name: SEA MAR COMMUNITY HEALTH CENTERS

Other Name: SEA MAR CHC KELSO BEHAVIORAL HEALTH

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

Specialization: Federally Qualified Health Center (FQHC)

Address:
1710 ALLEN ST
KELSO, WA
ZIP 98626
Phone: (360) 261-7020
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SEA MAR COMMUNITY HEALTH CENTERS is a federally qualified health center (fqhc) clinic center in Kelso, WA. SEA MAR COMMUNITY HEALTH CENTERS NPI is 1881053353. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Sea Mar Chc Kelso Behavioral Health.

The provider's business location address is:

1710 ALLEN ST
KELSO, WA
ZIP 98626-907
Phone: (360) 261-7020
Fax: (360) 261-7030

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 2/12/2016 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	License Number	License State	Primary
1	101Y00000X	Counselor				No
2	101YM0800X	Counselor	Mental Health			No
3	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	600537278	WASHINGTON	Yes
4	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	600537278	WASHINGTON	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	2054154	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

NPI Synchronization or Removal

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