SEA - MAR COMMUNITY HEALTH CENTER
NPI 1407492085
Clinic/Center - Federally Qualified Health Center (FQHC) in Lakewood, WA

NPI Status: Active since November 19, 2019

Contact Information

7424 BRIDGEPORT WAY W
LAKEWOOD, WA
ZIP 98499
Phone: (253) 581-2111
Fax: (253) 581-2712

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  • Organization
  • Clinic/Center
  • Federally Qualified Health Center (FQHC)
  • CLIA Number: 50D0961315
  • CLIA Cert. Type: Community Clinic
  • CLIA Exp. Date: 04-04-2028

About SEA - MAR COMMUNITY HEALTH CENTER

This page provides the complete NPI Profile along with additional information for Sea - Mar Community Health Center, a primary care provider established in Lakewood, Washington operating as a Clinic/center, focusing in federally qualified health center (fqhc) . The healthcare provider is registered in the NPI registry with number 1407492085 assigned on November 2019. The practitioner's primary taxonomy code is 261QF0400X. The provider is registered as an organization and their NPI record was last updated 6 years ago. The authorized official of this NPI record is Rachel Woodland (Credentialing Specialist)

NPI
1407492085
Provider Name
SEA - MAR COMMUNITY HEALTH CENTER
Entity Type
Organization
Location Address
7424 BRIDGEPORT WAY W LAKEWOOD, WA 98499
Location Phone
(253) 581-2111
Location Fax
(253) 581-2712
Mailing Address
PO BOX 34703 SEATTLE, WA 98124
Mailing Phone
(253) 681-6601
Mailing Fax
(253) 581-2712
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
11-19-2019
Last Update Date
11-19-2019
Code Navigator

A primary care provider (PCP) like Sea - Mar Community Health Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Federally Qualified Health Center (FQHC)

Taxonomy Code
261QF0400X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1261QM0801XAmbulatory Health Care Facilities

Clinic/Center
Mental Health (Including Community Mental Health Center)

 
2261QR0405XAmbulatory Health Care Facilities

Clinic/Center
Rehabilitation, Substance Use Disorder

 

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

RACHEL WOODLAND

Authorized Official Title
CREDENTIALING SPECIALIST
Authorized Official Phone
(253) 681-6601

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
50D0961315
Facility Type
Community Clinic
Certificate Effective Date
September 24, 2019
Certificate Expiration Date
April 04, 2028
Laboratory Director
DARLENE COE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Sea - Mar Community Health Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for SEA - MAR COMMUNITY HEALTH CENTER

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1407492085
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2407894016
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 4 + 0 + 7 + 8 + 9 + 4 + 0 + 1 + 6 + 24 = 65
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
70 - 65 = 55

The NPI number 1407492085 is valid because the calculated check digit 5 using the Luhn validation algorithm matches the last digit of the original NPI number.

Other Providers at the Same Location


The following 20 providers are registered at the same or nearby location.

NPI Name / Type Taxonomy Address
1306816814FAMILY MARRIAGE AND ASSESSMENT COUNSELING, LLC
Organization
Counselor (Mental Health)7424 BRIDGEPORT WAY W SUITE 309
LAKEWOOD, WA 98499
(253) 589-1611
1225099260DR. JOSEPH P CLABOTS M.D.
Individual
Thoracic Surgery (Cardiothoracic Vascular Surgery)7424 BRIDGEPORT WAY W SUITE 307
LAKEWOOD, WA 98499
(253) 588-3149
1598713869MRS. JOANNE GIGI HARDTKE ARNP
Individual
Nurse Practitioner7424 BRIDGEPORT WAY W SUITE 301
LAKEWOOD, WA 98499
(253) 212-0093
1851326722DR. JOY P RUIZ-MOLLESTON MD
Individual
Family Medicine (Addiction Medicine)7424 BRIDGEPORT WAY W SUITE 301
LAKEWOOD, WA 98499
(253) 474-5141
1013939438 JOHN JAMES ROOKS MD
Individual
Specialist7424 BRIDGEPORT WAY W #305
LAKEWOOD, WA 98499
(253) 301-6962
1255347910 KEITH ALLEN WEISSINGER M.D.
Individual
Pediatrics7424 BRIDGEPORT WAY W SUITE 103
LAKEWOOD, WA 98499
(253) 581-2111
1649286311 SUMNER LEE SCHOENIKE M.D.
Individual
Pediatrics7424 BRIDGEPORT WAY W SUITE 203
LAKEWOOD, WA 98499
(253) 581-2111
1740296599 KAMLA DEVI SAMUJH M.D.
Individual
Pediatrics7424 BRIDGEPORT WAY W SUITE 203
LAKEWOOD, WA 98499
(253) 581-2111
1538176995DR. DARRYL DEAN TAN M.D.
Individual
Pediatrics7424 BRIDGEPORT WAY W SUITE 203
LAKEWOOD, WA 98499
(253) 581-2523
1215943998 DARLENE RENARITA COE M.D.
Individual
Pediatrics7424 BRIDGEPORT WAY W SUITE 203
LAKEWOOD, WA 98499
(253) 581-2111
1922156645 PENNY LEAH TANNER PHD, ARNP
Individual
Counselor (Mental Health)7424 BRIDGEPORT WAY W SUITE 302
LAKEWOOD, WA 98499
(253) 581-6106
1902955479 DARLENE MUMBY WOOD ARNP
Individual
Counselor (Mental Health)7424 BRIDGEPORT WAY W SUITE 309
LAKEWOOD, WA 98499
(253) 581-6106
1811920010MR. CIRILO P ADAO PAC
Individual
Family Medicine (Addiction Medicine)7424 BRIDGEPORT WAY W SUITE 301
LAKEWOOD, WA 98499
(253) 474-5141
1710948740DR. M. TERESA CLABOTS M.D.
Individual
Pediatrics (Pediatric Endocrinology)7424 BRIDGEPORT WAY W SUITE 307
LAKEWOOD, WA 98499
(253) 588-6574
1528418936LABORATORY CORPORATION OF AMERICA
Organization
Clinical Medical Laboratory7424 BRIDGEPORT WAY W SUITE 201
LAKEWOOD, WA 98499
(253) 984-2625
1770694713LAKEWOOD PEDIATRIC ASSOCIATES, PLLC
Organization
Pediatrics7424 BRIDGEPORT WAY W STE 103
LAKEWOOD, WA 98499
(253) 581-2111
1134343775ORAL SURGERY NORTHWEST
Organization
Dentist7424 BRIDGEPORT WAY W SUITE 311
LAKEWOOD, WA 98499
(253) 588-1701
1356089858 ALICIA ROSE STEINLEY CHES
Individual
Health Educator7424 BRIDGEPORT WAY W
LAKEWOOD, WA 98499
(253) 581-2111
1144403007EAR, NOSE AND THROAT ASSOCIATES OF TACOMA, PS
Organization
Specialist7424 BRIDGEPORT WAY W #305
LAKEWOOD, WA 98499
(253) 582-3377
1942831359 BRANDI HAMILTON MC
Individual
Counselor7424 BRIDGEPORT WAY W
LAKEWOOD, WA 98499
(253) 246-6820

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1407492085, enumerated in the NPI registry as an "organization" on November 19, 2019

The provider is located at 7424 Bridgeport Way W Lakewood, Wa 98499 and the phone number is (253) 581-2111

This medical organization specializes in Clinic/Center with taxonomy code 261QF0400X with a focus in Federally Qualified Health Center (FQHC)

The provider's CLIA number is 50D0961315 for a "community clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on November 19, 2019. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
NPI Profile data is regularly updated with the latest NPI registry information, if you would like to update or remove your NPI Profile in this website please contact us.