Sea Mar Chc - Community Services Northwest - 39th Street | |
317 E 39th St Vancouver WA 98663-2233 | |
(206) 474-2001 | |
(206) 764-8005 |
Full Name | Sea Mar Chc - Community Services Northwest - 39th Street |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 317 E 39th St, Vancouver, Washington |
Authorized Official Name and Position | Rogelio Riojas (CEO) |
Authorized Official Contact | 2067635277 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Sea Mar Chc - Community Services Northwest - 39th Street Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | Sea Mar Chc - Community Services Northwest - 39th Street 317 E 39th St Vancouver WA 98663-2233 Ph: (206) 474-2001 |
NPI Number | 1447715750 |
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Provider Enumeration Date | 01/31/2019 |
Last Update Date | 03/12/2024 |
Certification Date | 03/12/2024 |
Identifier | Type | State | Issuer |
---|---|---|---|
1447715750 | NPI | - | NPPES |
2127424 | Medicaid | WA |
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