NAVAL HOSPITAL GUAM (NPI# 1194137711) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1194137711 |
| Entity Type | Organization |
| Organization Name | NAVAL HOSPITAL GUAM |
| Practice Address |
Us Naval Hospital Guam Bldg. #50, Room 1u02 Agana Heights GU 96919-0000 |
| Mailing Address |
Ermc Uniform Business Office Cdr 402 Bldg 3700 Ermc Ubo Agana Heights GU 96919-0000 |
| Practice Telephone | 6713449265 |
| Practice Fax Number | 6713449494 |
| Mailing Telephone | 6713449265 |
| Mailing Fax Number | 6713449494 |
| Enumeration Date | 2014-06-02 |
| Last Update Date | 2018-04-09 |
| Authorized Official Name | MR. WILLIAM MICHAEL CONDON (NAVY MEDICINE UBO PROGRAM MANAGER) |
| Authorized Official Telephone | 2404013643 |
| Is Organization Subpart | Y |
| Parent Organization Name | NAVAL HOSPITAL GUAM |
| 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 | 2146015 | 01 |
| 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 |
| 1093039455 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg 1 Fareholt Ave, Agana Heights, GU 96910 | 2010-03-15 |
| 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 |
| Street Address |
US NAVAL HOSPITAL GUAM BLDG. #50, ROOM 1U02 |
| City | AGANA HEIGHTS |
| State | GU |
| Zip Code | 96919-0000 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821086158 | Molly Ann Lipke | Preventive Medicine | Us Naval Hospital Guam, Farenholt Street Building K1, Agana Heights, GU 96919 | 2005-10-11 |
| 1407836075 | Christopher Boyd Chisholm | Emergency Medicine | Us Naval Hospital Guam, Farenholt Ave Bld K1, Agana Heights, GU 96919-7829 | 2006-01-19 |
| 1760461792 | Scott H Berry | Psychologist | Us Naval Hospital Guam, Building K-1, Agana Heights, GU 96919-7840 | 2006-01-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588690028 | Wayne Elmer Wittkop | Social Worker | Va-cboc Guam, Us Naval Hospital, Agana Heights, GUAM USA 96919 | 2006-06-25 |
| 1255385340 | Kevin Guarino Hitosis | Nurse Practitioner | Va Clinic Us Naval Hospital, Building 1, E-200, Agana Heights, GU 96919 | 2006-05-22 |
| 1669423117 | Joan H Gill | Psychiatry & Neurology | Veterans Clinic, Usnh, Building E - 200, Agana Heights, GU 96919 | 2006-05-12 |
| 1639127509 | Naval Hospital Guam | Military Hospital | Bldg 50 Farenholt Avenue, Agana Heights, GU 96919 | 2006-05-04 |
| 1548230782 | Scott J Ashby | Family Medicine | Farenholt St, Bldg K-1, Agana Heights, GU 96919 | 2006-01-23 |
| 1194795278 | Rosita Aguilo Mahony | Social Worker | Farenholt Street, Building K-1, Agana Heights, GU 96919 | 2006-01-23 |
| 1295715944 | Baldomero Jerusalem Sagrado Jr. | Pharmacist | Building K-1, Farenholt Street, Agana Heights, GU 96919 | 2006-01-19 |
| 1417936220 | Christopher Abbott | Optometrist | Farenholt Street Building K-1, Us Naval Hospital Guam, Agana Heights, GU 96919 | 2006-01-10 |
| 1023090248 | Jeffrey Warren Bitterman | Emergency Medicine | U.S. Naval Hospital Guam, Farenholt Street, Building K-1, Agana Heights, GUAM 96919 | 2005-11-15 |
| 1023003928 | Ryan Lyle Nations | Nurse Anesthetist, Certified Registered | U.S. Naval Hospital Guam Farenholt St., Building K-1, Agana Heights, GU 96919 | 2005-09-16 |
| Find all providers in zip 96919 | ||||
| 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 |
|---|---|---|---|---|
| 1093039455 | Naval Hospital Guam | Military/U.S. Coast Guard Pharmacy | Bldg 1 Fareholt Ave, Agana Heights, GU 96910 | 2010-03-15 |
| 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 | 96919 |
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.