| Sea Mar Chc Lakewood Sud | |
|
7424 Bridgeport Way W Ste 305&307 Lakewood WA 98499-8120 | |
| (253) 246-6820 | |
| (253) 246-6839 |
| Full Name | Sea Mar Chc Lakewood Sud |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 7424 Bridgeport Way W Ste 305&307, Lakewood, 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 Lakewood Sud Po Box 34703 Seattle WA 98124-1703 Ph: () - | Sea Mar Chc Lakewood Sud 7424 Bridgeport Way W Ste 305&307 Lakewood WA 98499-8120 Ph: (253) 246-6820 |
| NPI Number | 1780086686 |
|---|---|
| Provider Enumeration Date | 09/23/2014 |
| Last Update Date | 03/12/2024 |
| Certification Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780086686 | NPI | - | NPPES |
| 2040175 | Medicaid | WA |
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