NPI | 1528432010 |
---|---|
Former Legal Business Name | SEA-MAR COMMUNITY HEALTH CENTER |
Other Name | SEA MAR CHC DES MOINES DENTAL |
Entity Type | Organization |
Authorized Contact | ROGELIO RIOJAS Executive Director 206-788-3226 |
Organization Subpart ? | No |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) (Licence: WA 6005372781) |
Additional Taxonomies | 122300000X Dentist (Licence: WA 6005372781) |
Enumeration Date | 2015-11-20 |
Last Update Date | 2025-01-31 |