GUAM SURGICENTER, LLC (NPI# 1255338000) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1255338000 |
| Entity Type | Organization |
| Organization Name | GUAM SURGICENTER, LLC |
| Practice Address |
633 Carols Camacho Rd Ste. 101 Guam Medical Plaza Tamuning GU 96913-3143 |
| Practice Telephone | 6716463855 |
| Practice Fax Number | 6716463854 |
| Mailing Telephone | 6716463855 |
| Mailing Fax Number | 6716463854 |
| Enumeration Date | 2005-07-07 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. JAN BOLLINGER (BOARD MEMBER) |
| Authorized Official Telephone | 6716463855 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QA1903X |
Clinic/Center Specialization: Ambulatory Surgical |
0632498 | GU | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548443062 | Guam Surgicenter, LLC | Specialist | 633 Carlos Camacho Road, Suite 203, Tamuning, GU 96913-3127 | 2007-12-06 |
| 1083946933 | Guam Surgicenter, LLC | Clinic/Center | 633 Gov Carlos G Camacho Rd, Guam Medical Plaza Suite 101, Tamuning, GU 96913-3194 | 2010-02-03 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | GUAM SURGICENTER, LLC | Se 101 Guam Medical Plza 633, Tamuning, GU 96913 |
| Street Address |
633 CAROLS CAMACHO RD STE. 101 GUAM MEDICAL PLAZA |
| City | TAMUNING |
| State | GU |
| Zip Code | 96913-3143 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104894096 | Laura Taylor | Radiology | 633 Carols Camacho Rd, Suite 210, Tamuning, GU 96913-3194 | 2006-03-08 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| Taxonomy Code | 261QA1903X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Ambulatory Surgical |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881929842 | Hafa Adal Specialist Group, LLP | Clinic/Center | 280 Pale San Vitores Rd, Sunflower Villa, Tamuning, GU 96913-3615 | 2009-10-08 |
Please comment or provide details below to improve the information on GUAM SURGICENTER, LLC.
| 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.