| Sea Mar Chc White Center Sud | |
|
9650 15th Ave Sw Seattle WA 98106-2576 | |
| (206) 965-1055 | |
| (206) 965-1032 |
| Full Name | Sea Mar Chc White Center Sud |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 9650 15th Ave Sw, Seattle, 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 White Center Sud Po Box 34703 Seattle WA 98124-1703 Ph: (206) 764-3335 | Sea Mar Chc White Center Sud 9650 15th Ave Sw Seattle WA 98106-2576 Ph: (206) 965-1055 |
| NPI Number | 1255803599 |
|---|---|
| Provider Enumeration Date | 12/27/2018 |
| Last Update Date | 03/12/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1255803599 | NPI | - | NPPES |
| 2128266 | Medicaid | WA |
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