KAGMAN COMMUNITY HEALTH CENTER INC (NPI# 1770002446) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770002446 |
| Entity Type | Organization |
| Organization Name | KAGMAN COMMUNITY HEALTH CENTER INC |
| Other Organization Name | KAGMAN COMMUNITY HEALTH CENTER |
| Practice Address |
1 Lemmai Way Po Box 5723 Chrb Saipan MP 96950 |
| Mailing Address |
Po Box 5723 Saipan MP 96950-5556 |
| Practice Telephone | 6702565248 |
| Mailing Telephone | 6702874484 |
| Enumeration Date | 2017-09-14 |
| Last Update Date | 2019-06-11 |
| Authorized Official Name | MR. VINCENT T CASTRO (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 6702878089 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
22150-0001-1 | MP | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Kagman Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326070 | Kagman Community Health Center Inc | Clinic/Center | 5 Canal Street, Tinian, MP 96952 | 2020-01-28 |
| Street Address |
1 LEMMAI WAY PO BOX 5723 CHRB |
| City | SAIPAN |
| State | MP |
| Zip Code | 96950 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033728779 | Bridget Mahoney | Social Worker | Marina Heights, Blding II - Suite 206, Saipan, MP 96950 | 2020-07-29 |
| 1952919664 | Janice C Stanley | Pharmacist | Dandan Commercial Center, Msgr Guerrero Rd, Saipan, MP 96950 | 2020-07-20 |
| 1578186664 | Dental Care, Inc. | Clinic/Center | Ground Floor, D'torres Bldg., Middle Road, Garapan, Saipan, MP 96950 | 2020-05-22 |
| 1871129684 | Pacific Health Inc | Pharmacy | Bri Building Suite 105, Garapan, Saipan, MP 96950 | 2020-03-13 |
| 1285279323 | Marianas Dental Center | Clinic/Center | Tsl Plaza 2nd Floor Beach Road, Saipan, MP 96950 | 2019-11-13 |
| 1922653252 | Elias Gutierrez | Dentist | 1 Quartermaster Road, Chalan Laulau, Saipan, NORTHERN MARIANA ISLANDS 96950 | 2019-08-05 |
| 1215401377 | Qiwei Wang | Nurse Practitioner | Beach Road Garapan, Saipan, MP 96950 | 2019-01-11 |
| 1538641618 | Zenaida Silvestre Camacho | Licensed Practical Nurse | Lemmai Way, Kagman II, Saipan, MP 96950 | 2018-09-05 |
| 1245732585 | Aljay Ryan B Figueroa | Physical Therapist | Marianas Health Bldg, Bldg Ste 102 Ghiyaghi St, San Jose Saipan, MP 96950 | 2018-03-02 |
| 1679098529 | Janice C Millare | Physical Therapist | Marianas Health LLC Bldg Ghiyeghi St. San Jose, Saipan, MP 96950 | 2017-08-11 |
| Find all providers in zip 96950 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619217742 | Commonwealth Healthcare Corporation | Clinic/Center | 1 Lemmai Way Kagman II, Buildings 1 & 2, Saipan, MP 96950-0409 | 2013-02-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891326070 | Kagman Community Health Center Inc | Clinic/Center | 5 Canal Street, Tinian, MP 96952 | 2020-01-28 |
Please comment or provide details below to improve the information on KAGMAN COMMUNITY HEALTH CENTER INC.
| 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.