| Sea Mar Chc Tacoma Behavioral Health - Cushman | |
|
1112 S Cushman Ave Tacoma WA 98405-3631 | |
| (253) 593-2144 | |
| Not Available |
| Full Name | Sea Mar Chc Tacoma Behavioral Health - Cushman |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 1112 S Cushman Ave, Tacoma, 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 Tacoma Behavioral Health - Cushman Po Box 34703 Seattle WA 98124-1703 Ph: (206) 474-2001 | Sea Mar Chc Tacoma Behavioral Health - Cushman 1112 S Cushman Ave Tacoma WA 98405-3631 Ph: (253) 593-2144 |
| NPI Number | 1588147524 |
|---|---|
| Provider Enumeration Date | 09/14/2018 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1588147524 | NPI | - | NPPES |
| 2135938 | Medicaid | WA |
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