| Sea Mar Chc - Community Services Northwest - Rose Village | |
|
2502 E Fourth Plain Blvd Vancouver WA 98661-3965 | |
| (360) 831-0904 | |
| (360) 433-9917 |
| Full Name | Sea Mar Chc - Community Services Northwest - Rose Village |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 2502 E Fourth Plain Blvd, 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 |
|---|---|
| Sea Mar Chc - Community Services Northwest - Rose Village Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | Sea Mar Chc - Community Services Northwest - Rose Village 2502 E Fourth Plain Blvd Vancouver WA 98661-3965 Ph: (360) 831-0904 |
| NPI Number | 1356806665 |
|---|---|
| Provider Enumeration Date | 01/31/2019 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1356806665 | NPI | - | NPPES |
| 2127435 | Medicaid | WA |
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