NPI | 1336686138 |
---|---|
Other Name | SEA MAR CHC TACOMA SA - 11TH STREET |
Entity Type | Organization |
Authorized Contact | ROGELIO RIOJAS CEO 206-763-5277 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2017-01-31 |
Last Update Date | 2024-03-12 |