Sea Mar Chc Puyallup Behavioral Health
LBN: Sea Mar Community Health Centers
Sea Mar Chc Puyallup Behavioral Health is an health care organization with primary practice located at 12812 101St Avenue Ct E Ste 202 , Puyallup WA 98373-9103. The organization recently has 2 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC), Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center). Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) is the primary health care specialty.
Sea Mar Community Health Centers can be contacted via phone (253) 864-4770, or through Riojas, Rogelio via phone (206) 763-5277.
Contact Information
Primary practice address
12812 101St Avenue Ct E Ste 202
Puyallup WA 98373-9103
Phone: (253) 864-4770
Fax: (253) 864-4771
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) | 261QF0400X | 600537278 | Washington |
| Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) | 261QM0801X | Washington |
Profile Details
| NPI number | 1043407182 |
|---|---|
| LBN Legal business name | Sea Mar Community Health Centers |
| DBA Doing business as | Sea Mar Chc Puyallup Behavioral Health |
| Authorized official | Riojas, Rogelio |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Oct 3rd, 2007 |
| Last updated | Mar 12th, 2024 - about 8 months ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1043407182 | NPPES |
| Washington | MEDICAID | 2000111 |
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