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CH10102CC SEA-MAR COMMUNITY HEALTH CENTER (Terminated)
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Main Details
Name
SEA-MAR COMMUNITY HEALTH CENTER
Subdivision Name
Sea Mar CHC - Olympia Ensign Rd NE
Type
HRSA-Funded Health Center
Site ID
BPS-H80-013745
340B ID
CH10102CC
Grant Number
H80CS00445
Additional Details
Current Program Status
Terminated
Registration Date
4/15/2014
Participating Start Date
7/1/2014
Participating Approval Date
4/18/2014
Last Recertification Date
2/13/2020
Termination Date
Termination Reason
7/1/2020
Other
Contacts
Authorizing Official
Sea Mar Community Health Centers
Mary Bartolo, VP, Deputy Director
(206) 763-5277
Primary Contact
Sea Mar Community Health Centers
Kristina Hoeschen, Chief Compliance Officer
(206) 788-3203
Addresses
Street Address
3622 Ensign Rd NE
Olympia, WA 98506-5081
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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