| Pacific Medical Center, Inc | |
|
Pmc Building, Middle Road Gualo Rai Saipan MP 96950-1908 | |
| (670) 233-8100 | |
| (670) 233-8102 |
| Full Name | Pacific Medical Center, Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | Pmc Building, Middle Road, Saipan, Northern Mariana Islands |
| Authorized Official Name and Position | Soledad Camacho (ADMINISTRATOR) |
| Authorized Official Contact | 6702338100 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Pacific Medical Center, Inc Po Box 501908 Saipan MP 96950-1908 Ph: (670) 233-8100 | Pacific Medical Center, Inc Pmc Building, Middle Road Gualo Rai Saipan MP 96950-1908 Ph: (670) 233-8100 |
| NPI Number | 1861434920 |
|---|---|
| Provider Enumeration Date | 06/12/2006 |
| Last Update Date | 07/15/2013 |
| Medicare PECOS PAC ID | 9133123995 |
|---|---|
| Medicare Enrollment ID | O20060908000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1861434920 | NPI | - | NPPES |
| 1861434920 | Other | MP | MEDICARE NATIONAL PROVIDER IDENTIFIER (NPI) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | 621111 (Northern Mariana Islands) | Primary |
| Provider Name | Ahmad Al Alou |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1063459428 PECOS PAC ID: 5890720098 Enrollment ID: I20050927000662 |
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