NPIMap

Organization Active NPI

Sea Mar Community Health Centers

  • Community/Behavioral Health Agency
  • Everett, WA
National Provider Identifier
1992870208
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community/Behavioral Health AgencyTaxonomy code 251S00000X
Legal business name
SEA MAR COMMUNITY HEALTH CENTERS
Practice address
1031 SE Everett Mall Way
Everett, WA 98208-2833
Phone
(425) 609-5505
Fax
(425) 609-5506
NPI assigned
Nov 21, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mr. Russ Hardison, MA
Title
Program Supervisor
Phone
(360) 428-8912

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community/Behavioral Health Agency 251S00000X Primary

Addresses

Primary practice location

1031 SE Everett Mall Way
Everett, WA 98208-2833

Mailing address

1031 SE Everett Mall Way
Everett, WA 98208-2833
Phone (425) 609-5505

National Provider Directory

National Provider Directory
Tax ID family
Sea Mar Marysville Medi278 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 14

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 14

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1164067200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992870208",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1031 SE EVERETT MALL WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082833",
            "telephone_number": "425-609-5505",
            "fax_number": "425-609-5506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1031 SE EVERETT MALL WAY",
            "city": "EVERETT",
            "state": "WA",
            "postal_code": "982082833",
            "telephone_number": "425-609-5505",
            "fax_number": "425-609-5506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SEA MAR COMMUNITY HEALTH CENTERS",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-21",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "HARDISON",
        "authorized_official_first_name": "RUSS",
        "authorized_official_title_or_position": "PROGRAM SUPERVISOR",
        "authorized_official_telephone_number": "360-428-8912",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MA"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Everett, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.