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162 Abman Drive Inarajan GU 96915-2816 | |
(671) 828-7501 | |
(671) 828-7504 |
Full Name | |
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Speciality | Clinic/Center |
Location | 162 Abman Drive, Inarajan, Guam |
Authorized Official Name and Position | Linda Unpingco Denorcey (EXECUTIVE DIRECTOR) |
Authorized Official Contact | 6716354422 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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162 Abman Drive Inarajan GU 96915-2816 Ph: (671) 828-7501 | 162 Abman Drive Inarajan GU 96915-2816 Ph: (671) 828-7501 |
NPI Number | 1629041546 |
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Provider Enumeration Date | 02/10/2006 |
Last Update Date | 04/12/2013 |
Medicare PECOS PAC ID | 6103920525 |
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Medicare Enrollment ID | O20100724000005 |
Identifier | Type | State | Issuer |
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1629041546 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Guam) | Primary |