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CH10102BP SEA-MAR COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
SEA-MAR COMMUNITY HEALTH CENTER
Subdivision Name
SEA MAR CHC - LYNNWOOD OUTPATIENT
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007521
340B ID
CH10102BP
Grant Number
H80CS00445
Additional Details
Current Program Status
Terminated
Registration Date
4/11/2013
Participating Start Date
7/1/2013
Participating Approval Date
6/4/2013
Last Recertification Date
2/13/2017
Termination Date
Termination Reason
4/1/2018
Site closure
Contacts
Authorizing Official
Sea Mar Community Health Centers
Mary Bartolo, VP, Deputy Director
(206) 763-5277
Primary Contact
Sea Mar Community Health Centers
Tabitha Gross, Administration and Development Manager
(206) 788-3273
Addresses
Street Address
19707 44th Ave W
Lynnwood, WA 98272-6757
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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