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CH10102BE Sea Mar Community Health Centers (Active)
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Main Details
Name
Sea Mar Community Health Centers
Subdivision Name
Sea Mar CHC - Tillicum Community Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-010958
340B ID
CH10102BE
Grant Number
H80CS00445
Additional Details
Current Program Status
Active
Registration Date
5/8/2012
Participating Start Date
7/1/2012
Participating Approval Date
6/19/2012
Last Recertification Date
2/17/2025
Contacts
Authorizing Official
Sea Mar Community Health Centers
Mary Bartolo, Executive Vice President
(206) 763-5277
Primary Contact
Sea-Mar
Luz Maria Colberg, Purchasing Specialist
(206) 788-3202
Addresses
Street Address
14916 Washington Ave. SW
Lakewood, WA 98498-2271
Billing Address
Sea Mar Community Health Center
1040 S. Henderson St,
Seattle, WA 98108
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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5/17/12 - Reviewed registration and sent entity email re: verification of AO. 5/24/12 - Confirmed verification from AO who is the VP/Deputy Director, forwarded to IS for processing.
05/24/2012
5/17/12 - Reviewed registration and sent entity email re: verification of AO.
05/17/2012
April 2025
April 2025
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