Sea Mar Chc Puyallup Sud

LBN: Sea Mar Community Health Centers
Sea Mar Chc Puyallup Sud is an health care organization with primary practice located at 12812 101St Avenue Ct E Fl Cte2 , Puyallup WA 98373-9101. 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 / Rehabilitation, Substance Use Disorder. 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 Fl Cte2 Puyallup WA 98373-9101
Fax: (253) 864-4771
Website:
Authorized official contact:
Name: Riojas, Rogelio

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 6 H80CS00445-05-03 Washington
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder 261QR0405X 6 H80CS00445-05-03 Washington

Profile Details

NPI number 1659560555
LBN Legal business name Sea Mar Community Health Centers
DBA Doing business as Sea Mar Chc Puyallup Sud
Authorized official Riojas, Rogelio
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659560555 NPPES
Washington MEDICAID 1055008

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