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655 Harmon Loop Rd Ste 102 Dededo GU 96929-6544 | |
(671) 647-5355 | |
(671) 989-8836 |
Full Name | |
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Speciality | Family Medicine |
Location | 655 Harmon Loop Rd Ste 102, Dededo, Guam |
Authorized Official Name and Position | Ruth Gurusamy (PRESIDENT) |
Authorized Official Contact | 6716475355 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Po Box 8838 Tamuning GU 96931-8838 Ph: (671) 647-5355 | 655 Harmon Loop Rd Ste 102 Dededo GU 96929-6544 Ph: (671) 647-5355 |
NPI Number | 1942277967 |
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Provider Enumeration Date | 03/08/2006 |
Last Update Date | 11/03/2023 |
Medicare PECOS PAC ID | 2567435563 |
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Medicare Enrollment ID | O20040817001492 |
Identifier | Type | State | Issuer |
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1942277967 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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207Q00000X | Family Medicine | 13-200400954-010 (Guam) | Primary |
Blue Ocean Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Harmon Loop Rd Ste 108, Dededo, GU 96929 Phone: 671-633-4447 | |
Blue Continent Healthcare Guam Medical City Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
International Health Providers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Harmon Loop Rd, Suite 108, Dededo, GU 96929 Phone: 671-929-6214 | |