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Government Of Guam Department Of Administration

Clinic/Center, Health Services in Mangilao, GU. Organization (NPI-2).

NPI number1174969331
StatusActive
Last updated in NPPESMay 15, 2013

Details

NPI
1174969331
Entity type
Organization (NPI-2)
Legal business name
Government Of Guam Department Of Administration
Organization subpart
No
Enumeration date
May 15, 2013
Last updated
May 15, 2013

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
261QH0100X Clinic/Center, Health Services–GUYes

Other names

  • Central Public Health (Doing Business As)

Practice location

123 Chalan Kareta
Mangilao, GU 96913-6304

Phone 671-735-7111 · Fax 671-734-7097

Mailing address

123 Chalan Kareta
Mangilao, GU 96913-6304

Phone 671-735-7111 · Fax 671-734-7097

Authorized official

James W Gillan
Director
6717357101

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