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CH10102DV Sea-Mar Community Health Center (Terminated)
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Main Details
Name
Sea-Mar Community Health Center
Subdivision Name
Sea Mar CHC - Seattle 8801 14th Ave S
Type
HRSA-Funded Health Center
Site ID
BPS-H80-028289
340B ID
CH10102DV
Grant Number
H80CS00445
Additional Details
Current Program Status
Terminated
Registration Date
1/13/2020
Participating Start Date
4/1/2020
Participating Approval Date
2/28/2020
Last Recertification Date
2/8/2021
Termination Date
Termination Reason
7/1/2021
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
8801 14th Ave. S.
Seattle, WA 98108-4809
Billing Address
Sea Mar Community Health Centers
1040 S Henderson St
Seattle, WA 98108
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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