NAVAL HOSPITAL GUAM (NPI# 1093039455) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1093039455 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL GUAM |
| Other Organization Name | GUAM USS FC PHCY |
| Practice Address |
Bldg 1 Fareholt Ave Agana Heights GU 96910 |
| Practice Telephone | 6713432545 |
| Practice Fax Number | 6713437267 |
| Mailing Telephone | 6713432545 |
| Mailing Fax Number | 6713437267 |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2017-12-20 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 332000000X | Military/U.S. Coast Guard Pharmacy | Suppliers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| PK | 2124276 | 01 |
| Other Name | Type Code |
|---|---|
| GUAM USS FC PHCY | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487954863 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg # 6 Chapel Rd, Santa Rita, GU 96915 | 2010-11-01 |
| 1679672620 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg 198, Dededo, GU 96540-1816 | 2006-09-22 |
| 1720187768 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Pharmacy Department, Agana, GU 96538-0490 | 2006-09-22 |
| 1639127509 | Naval Hospital Guam | Military Hospital | Bldg 50 Farenholt Avenue, Agana Heights, GU 96919 | 2006-05-04 |
| 1467852749 | Naval Hospital Guam | Military Hospital | Psc 490 Box 9095, Fpo, AP 96538-9000 | 2014-08-25 |
| 1194137711 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Us Naval Hospital Guam, Bldg. #50, Room 1u02, Agana Heights, GU 96919-0000 | 2014-06-02 |
| Street Address |
BLDG 1 FAREHOLT AVE |
| City | AGANA HEIGHTS |
| State | GU |
| Zip Code | 96910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
| 1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
| 1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
| 1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
| 1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
| 1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
| 1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
| Find all providers in zip 96910 | ||||
| Taxonomy Code | 332000000X |
| Grouping | Suppliers |
| Classification | Military/U.S. Coast Guard Pharmacy |
| A Department of Defense (DoD) or U.S. Coast Guard entity whose primary function is to store, prepare and dispense pharmaceuticals and other associated items to Uniformed Services beneficiaries. These pharmacies may be associated with a DoD or U.S. Coast Guard clinic, DoD Hospital or freestanding. Usually associated with outpatient services. |
| Notes: Source: TRICARE Management Activity Uniform Business Office User’s Guide [1/1/2005: new; 7/1/2006: modified title, modified definition] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194137711 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Us Naval Hospital Guam, Bldg. #50, Room 1u02, Agana Heights, GU 96919-0000 | 2014-06-02 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861804643 | Ermc Uniform Business Office | Military/U.S. Coast Guard Pharmacy | 36th Medical Support Squadron, 26001, Agana, GU 96910 | 2014-05-28 |
| 1487954863 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg # 6 Chapel Rd, Santa Rita, GU 96915 | 2010-11-01 |
| 1679672620 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg 198, Dededo, GU 96540-1816 | 2006-09-22 |
| 1720187768 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Pharmacy Department, Agana, GU 96538-0490 | 2006-09-22 |
| 1588763536 | Andersen Phcy | Military/U.S. Coast Guard Pharmacy | Bldg 26000 Santa Rosa, Andersen Afb, GU 96543 | 2006-09-22 |
| City | AGANA HEIGHTS |
| Zip Code | 96910 |
Please comment or provide details below to improve the information on NAVAL HOSPITAL GUAM.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.