Charity Geriatric And Wound Care Medical Center | |
4099 Nuuuli Pago Pago AS 96799 | |
(684) 733-0833 | |
Not Available |
Full Name | Charity Geriatric And Wound Care Medical Center |
---|---|
Speciality | Family Medicine |
Location | 4099 Nuuuli, Pago Pago, American Samoa |
Authorized Official Name and Position | Monita Prem Adip (CHIEF MEDICAL OFFICER) |
Authorized Official Contact | 6846993279 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Charity Geriatric And Wound Care Medical Center Po Box 4099 Pago Pago AS 96799-4099 Ph: (684) 733-0833 | Charity Geriatric And Wound Care Medical Center 4099 Nuuuli Pago Pago AS 96799 Ph: (684) 733-0833 |
NPI Number | 1881366540 |
---|---|
Provider Enumeration Date | 10/01/2021 |
Last Update Date | 10/01/2021 |
Medicare PECOS PAC ID | 1052701653 |
---|---|
Medicare Enrollment ID | O20211213002378 |
Identifier | Type | State | Issuer |
---|---|---|---|
1881366540 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207QG0300X | Family Medicine - Geriatric Medicine | (* (Not Available)) | Primary |
Provider Name | Jean Letarte |
---|---|
Provider Type | Practitioner - Nephrology |
Provider Identifiers | NPI Number: 1225009350 PECOS PAC ID: 0648296426 Enrollment ID: I20191105002961 |
Manu'a Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 98-2925 Tuitasi Farm Road, Malaeloa-aitulagi, Pago Pago, AS 96799 Phone: 684-688-9968 Fax: 323-892-2307 | |
American Samoa Medical Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 96799 Turner Dr, Pago Pago, AS 96799 Phone: 684-633-1222 |