Active NPI
Sea Mar Community Health Centers
- Federally Qualified Health Center (FQHC)
- Vancouver, WA
National Provider Identifier
1669038543
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- SEA MAR COMMUNITY HEALTH CENTERS
- Practice address
- 1601 E Fourth Plain Blvd BLDG 17
Vancouver, WA 98661-3717 - Phone
- (360) 558-5795
- Fax
- (360) 397-8494
- NPI assigned
- May 15, 2019
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Rogelio Riojas
- Title
- Ceo
- Phone
- (206) 763-5277
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | Primary | ||
| Mental Health Clinic/Center (Including Community Mental Health Center) | 261QM0801X | |||
| Substance Use Disorder Rehabilitation Clinic/Center | 261QR0405X |
Addresses
Primary practice location
1601 E Fourth Plain Blvd BLDG 17
Vancouver, WA 98661-3717
Mailing address
PO Box 34703
Seattle, WA 98124-1703
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2135934 | Medicaid | WA |
Other names 2
- Sea-Mar Community Health Center
- Sea Mar CHC - Community Services Northwest - Fourth Plain SUD
National Provider Directory
National Provider Directory- Tax ID family
- Sea Mar Marysville Medi
Organizations with this tax ID in the same state 24
This tax ID family is large, so up to 24 of its organizations in the same state are linked here.
-
- Federally Qualified Health Center (FQHC)
- Oak Harbor, WA
- NPI 1639711385
-
- Federally Qualified Health Center (FQHC)
- Olympia, WA
- NPI 1619534161
-
- Federally Qualified Health Center (FQHC)
- Kent, WA
- NPI 1619547288
-
- Federally Qualified Health Center (FQHC)
- Puyallup, WA
- NPI 1659560555
-
- Federally Qualified Health Center (FQHC)
- Bellingham, WA
- NPI 1659840619
-
- Federally Qualified Health Center (FQHC)
- Tumwater, WA
- NPI 1679766620
-
- Federally Qualified Health Center (FQHC)
- Battle Ground, WA
- NPI 1689192940
-
- Federally Qualified Health Center (FQHC)
- Kelso, WA
- NPI 1689491722
-
- Federally Qualified Health Center (FQHC)
- Everson, WA
- NPI 1689721011
-
- Federally Qualified Health Center (FQHC)
- Everett, WA
- NPI 1699332122
-
- Federally Qualified Health Center (FQHC)
- Mount Vernon, WA
- NPI 1699936617
-
- Federally Qualified Health Center (FQHC)
- Monroe, WA
- NPI 1700047735
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557878400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1738281600000",
"number": "1669038543",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 34703",
"city": "SEATTLE",
"state": "WA",
"postal_code": "981241703"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 E FOURTH PLAIN BLVD BLDG 17",
"city": "VANCOUVER",
"state": "WA",
"postal_code": "986613717",
"telephone_number": "360-558-5795",
"fax_number": "360-397-8494"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "SEA MAR COMMUNITY HEALTH CENTERS",
"organizational_subpart": "NO",
"enumeration_date": "2019-05-15",
"last_updated": "2025-01-31",
"certification_date": "2025-01-31",
"status": "A",
"authorized_official_last_name": "RIOJAS",
"authorized_official_first_name": "ROGELIO",
"authorized_official_title_or_position": "CEO",
"authorized_official_telephone_number": "206-763-5277"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": null,
"license": null,
"primary": true
},
{
"code": "261QM0801X",
"taxonomy_group": "",
"desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
"state": null,
"license": null,
"primary": false
},
{
"code": "261QR0405X",
"taxonomy_group": "",
"desc": "Clinic/Center, Rehabilitation, Substance Use Disorder",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2135934",
"state": "WA"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Sea-Mar Community Health Center",
"code": "4",
"type": "Former Legal Business Name"
},
{
"organization_name": "Sea Mar CHC - Community Services Northwest - Fourth Plain SUD",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Vancouver, WA
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
- Sea Mar Community Health Centers
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.