| Sea Mar Chc Monroe Sud | |
|
14090 Fryelands Blvd Se Ste 347 Monroe WA 98272-2760 | |
| (360) 805-3122 | |
| (360) 805-9180 |
| Full Name | Sea Mar Chc Monroe Sud |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 14090 Fryelands Blvd Se Ste 347, Monroe, 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 Monroe Sud Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | Sea Mar Chc Monroe Sud 14090 Fryelands Blvd Se Ste 347 Monroe WA 98272-2760 Ph: (360) 805-3122 |
| NPI Number | 1700047735 |
|---|---|
| Provider Enumeration Date | 06/23/2008 |
| Last Update Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1700047735 | NPI | - | NPPES |
| 2004837 | Medicaid | WA |
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