Sea Mar Chc Kelso Behavioral Health

LBN: Sea Mar Community Health Centers
Sea Mar Chc Kelso Behavioral Health is an health care organization with primary practice located at 1710 Allen St , Kelso WA 98626-4907. The organization recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, 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 (360) 261-7020, or through Riojas, Rogelio via phone (206) 763-5277.

Contact Information

Primary practice address
1710 Allen St Kelso WA 98626-4907
Phone: (360) 261-7020
Fax: (360) 261-7030
Website:
Map and Directions
Authorized official contact:
Name: Riojas, Rogelio
Phone: (206) 763-5277

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X
Behavioral Health & Social Service Providers / Mental Health 101YM0800X
Ambulatory Health Care Facilities / Federally Qualified Health Center (FQHC) 261QF0400X 600537278 Washington
Ambulatory Health Care Facilities / Mental Health (Including Community Mental Health Center) 261QM0801X 600537278 Washington

Profile Details

NPI number 1881053353
LBN Legal business name Sea Mar Community Health Centers
DBA Doing business as Sea Mar Chc Kelso Behavioral Health
Authorized official Riojas, Rogelio
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2016
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 1881053353 NPPES
Washington MEDICAID 2054154

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