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CH10102EG Sea-Mar Community Health Center (Terminated)
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Main Details
Name
Sea-Mar Community Health Center
Subdivision Name
Sea Mar CHC - Kent State Ave. N.
Type
HRSA-Funded Health Center
Site ID
BPS-H80-032011
340B ID
CH10102EG
Grant Number
H80CS00445
Additional Details
Current Program Status
Terminated
Registration Date
7/7/2021
Participating Start Date
10/1/2021
Participating Approval Date
7/8/2021
Last Recertification Date
2/14/2023
Termination Date
Termination Reason
4/1/2024
Site closure
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
219 State Ave N Ste 220
Kent, WA 98030
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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