GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION (NPI# 1972577104) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972577104 |
| Entity Type | Organization |
| Organization Name | GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION |
| Other Organization Name | GUAM DEPARTMENT OF PUBLIC HEALTH NORTHERN REGION COMMUNITY HEALTH CENT |
| Practice Address |
520 W Santa Monica Ave Dededo GU 96929-5286 |
| Practice Telephone | 6716357492 |
| Practice Fax Number | 6716357493 |
| Mailing Telephone | 6717357101 |
| Mailing Fax Number | 6717345910 |
| Enumeration Date | 2006-02-14 |
| Last Update Date | 2013-04-12 |
| Authorized Official Name | MS. LINDA UNPINGCO DENORCEY (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 6716354422 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
GU | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Guam Department of Public Health Northern Region Community Health Cent | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184796690 | Government of Guam Department of Administration | Pharmacy | 162 As Abman Dr, Inarajan, GU 96917 | 2006-11-14 |
| 1629041546 | Government of Guam Department of Administration | Clinic/Center | 162 Abman Drive, Inarajan, GU 96915-2816 | 2006-02-10 |
| 1174969331 | Government of Guam Department of Administration | Clinic/Center | 123 Chalan Kareta, Mangilao, GU 96913-6304 | 2013-05-15 |
| 1265738033 | Government of Guam Department of Administration | Public Health or Welfare | 123 Chalan Kareta, Mangilao, GU 96913-6304 | 2011-01-27 |
| Street Address |
520 W SANTA MONICA AVE |
| City | DEDEDO |
| State | GU |
| Zip Code | 96929-5286 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497386353 | Lean Carlo Mendoza Losinio | Nurse Practitioner | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2020-01-30 |
| 1568874345 | Meagan Bamba-ada | Nurse Practitioner | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2014-05-28 |
| 1548500291 | Teofila Maria Perez Cruz | Nurse Practitioner | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2013-02-18 |
| 1740471028 | Department of Public Health and Social Services | Public Health or Welfare | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2007-08-05 |
| 1659562932 | Department of Public Health and Social Services | Public Health or Welfare | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2007-08-05 |
| 1467643767 | James V. Finch | Advanced Practice Midwife | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2007-08-05 |
| 1326169319 | Brian Joey Que | Pediatrics | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2007-04-03 |
| 1760532394 | Dept. of Public Health Pharmacy-nrchc | Clinic/Center | 520 W Santa Monica Ave, Dededo, GU 96929-5286 | 2007-01-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285288134 | Benjamin Huyck | Military Health Care Provider | 22061 Carolines Ave, Andersen Afb, GU 96929 | 2019-07-30 |
| 1235782244 | Daniel Shimanski | Military Health Care Provider | 36th Mdos, Bld 26012, Carolines Ave, Andersen Afb, GUAM 96929 | 2019-07-18 |
| 1306304837 | Superdrug-yigo | Pharmacy | 525 Chalan Ramon Haya, Yigo, GU 96929 | 2019-03-04 |
| 1194214668 | Doris Marquez Querimit | Pharmacist | 600 Harmon Loop Road, Ste. 100, Dededo, GU 96929 | 2018-05-09 |
| 1487167995 | Stephanie Taijeron | Nurse Practitioner | 655 Harmon Luke Road, Suite 300, Bededo, GU 96929 | 2017-11-07 |
| 1821542119 | Rachael Marie Sells | Dentist | 36 Mdg Unit 14010, Building 26001, Apo, AP 96929 | 2016-08-04 |
| 1669832846 | Christopher Medina | Optometrist | Concourse 4 Micronesia Mall, Ideal Optical, Dededo, GU 96929 | 2016-03-01 |
| 1730557760 | Everlino Aben Ramos | Physician Assistant | 26012 Carolines Avenue, Andersen Afb, Yigo, GU 96929 | 2015-09-08 |
| 1679976039 | Tracy Repancal Sunga | Dentist | 505 Harmon Loop Rd. Suite 300, Dededo, GU 96929 | 2014-09-30 |
| 1902215239 | Christina M. Rapadas | Dentist | 505 Harmon Loop Rd., Suite 300, Dededo, GU 96929 | 2014-08-12 |
| Find all providers in zip 96929 | ||||
| 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 |
|---|---|---|---|---|
| 1629041546 | Government of Guam Department of Administration | Clinic/Center | 162 Abman Drive, Inarajan, GU 96915-2816 | 2006-02-10 |
Please comment or provide details below to improve the information on GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION.
| 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.