SEA MAR COMMUNITY HEALTH CENTER – NPI #1811182223
Clinic/Center

SEA MAR COMMUNITY HEALTH CENTER is an AHC clinic located in COPALIS BEACH, WA. NPPES has assigned the NPI number 1811182223 to SEA MAR COMMUNITY HEALTH CENTER on September 10, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SEA MAR COMMUNITY HEALTH CENTER” is a dba name, the actual legal business name for this organization is SEA-MAR COMMUNITY HEALTH CENTER. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 16 years ago on Mar 12, 2010. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for SEA MAR COMMUNITY HEALTH CENTER below.

NPI Profile for
SEA-MAR COMMUNITY HEALTH CENTER

NPI Number
1811182223
Enumeration Date

(about 19 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
SEA-MAR COMMUNITY HEALTH CENTER
Doing Business As (dba): SEA MAR COMMUNITY HEALTH CENTER
Primary location
3010 STATE ROUTE 109
COPALIS BEACH, WA 98535
Phone: (360) 289-2472 Fax: (360) 283-9982
Mailing address
PO BOX 34703
SEATTLE, WA 98124-1703
Phone: (206) 764-3335 Fax: (206) 764-0489
Organization Subpart
No
Authorized Official
ROGELIO RIOJAS
EXECUTIVE DIRECTOR
Phone: (206) 763-5277
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)
WA 6 H80CS00445-05-03
261QM0801X
- Clinic/Center / Mental Health (Including Community Mental Health Center)
WA 6 H80CS00445-05-03

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.