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98-2925 Tuitasi Farm Road Malaeloa-aitulagi Pago Pago AS 96799 | |
| (684) 688-9968 | |
| (323) 892-2307 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Medical Specialty |
| Location | 98-2925 Tuitasi Farm Road, Pago Pago, American Samoa |
| Authorized Official Name and Position | Barney Sene (PRESIDENT & CEO) |
| Authorized Official Contact | 2138922300 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
8033 W Sunset Blvd Ste 588 Los Angeles CA 90046-2401 Ph: (323) 892-2300 | 98-2925 Tuitasi Farm Road Malaeloa-aitulagi Pago Pago AS 96799 Ph: (684) 688-9968 |
| NPI Number | 1467835124 |
|---|---|
| Provider Enumeration Date | 06/30/2015 |
| Last Update Date | 06/30/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467835124 | NPI | - | NPPES |
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 | |
Charity Geriatric And Wound Care Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4099 Nuuuli, Pago Pago, AS 96799 Phone: 684-733-0833 |