Sea-Mar Community Health Center in Puyallup - Federally Qualified Health Center (fqhc)
Sea-Mar Community Health Center - NPI 1659560555
Sea-Mar Community Health Center is a Federally Qualified Health Center (fqhc) in Puyallup, Washington. Sea-Mar Community Health Center practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Sea-Mar Community Health Center is 1659560555. The last update date is 2011-06-14.
Sea-Mar Community Health Center's current location address is 12812 101st Avenue Ct E, Puyallup, Washington. You can contact this provider via phone number 2538644770 and fax number 2538644771. The mailing address for Sea-Mar Community Health Center is 12812 101st Avenue Ct E, Puyallup, Washington. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Sea-Mar Community Health Center |
|---|---|
| Address | 12812 101st Avenue Ct E, Puyallup, Washington |
| Phone Number | 2538644770 |
| Fax Number | 2538644771 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Riojas Rogelio |
| Telephone Number | 2067625377 |
NPI Number Detail
| NPI Number | 1659560555 |
|---|---|
| Provider Enumeration Date | 2007-10-17 |
| Last Updated Date | 2011-06-14 |
Provider Mailing Address Detail
| Address | 12812 101st Avenue Ct E |
|---|---|
| City | Puyallup |
| State | Washington (WA) |
| Post Code | 983739101 |
| Phone Number | 2538644770 |
| Fax Number | 2538644771 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
| Licence No | 6 H80CS00445 |
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Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
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What is the unique identifier code issued to Sea-Mar Community Health Center by the Centers for Medicare & Medicaid Services?
The Sea-Mar Community Health Center has been assigned the NPI (National Provider Identifier) 1659560555. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Sea-Mar Community Health Center's facilities are situated?
The facilities of Sea-Mar Community Health Center are physically located at the following address: 12812 101St Avenue Ct E, Puyallup, WA, 983739101.
What is Sea-Mar Community Health Center's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Sea-Mar Community Health Center's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1659560555 to Sea-Mar Community Health Center?
The Centers for Medicare & Medicaid Services assigned the 1659560555 to Sea-Mar Community Health Center on 2007-10-17.
When was the information regarding Sea-Mar Community Health Center most recently updated?
The details pertaining to the Sea-Mar Community Health Center, including its address, specialty, and other relevant information, were last refreshed on 2011-06-14.