Marianas Health Services, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

10723-0004 Issued in MP

Legal business name

MARIANAS HEALTH SERVICES, INC

Doing business as

Pacific Wellness Center

Practice address

Ghiyeghi St. San Jose BLDG Ste102
Marianas Health LLC
Saipan, MP 96950-8903

Phone

(670) 233-4646

Fax

(670) 233-4648

NPI assigned

May 15, 2007

Last updated

Jun 12, 2015By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Evelyn P. De Belen

Title

Billing Manager

Phone

(670) 233-4646

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• PACIFIC WELLNESS CENTER Doing business as

Medicare fee-for-service enrollment

Enrolled in MP

Enrollment records 1

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

• Marianas Health Services Inc

  dba MHS Home Care

  • Home Health Agency
  • Saipan, MP
  • NPI 1427136464

  6800836040

  Same PAC ID

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Acela Kristina Dee Mortega Belen, RPT

  • Physical Therapist
  • Saipan, MP
  • NPI 1104678911
  Medicare reassignment NPD
• Annalyn Durante Gallardo, RPT

  • Physical Therapist
  • Saipan, MP
  • NPI 1215789029
  Medicare reassignment NPD
• Edison Antonio Jr Isada Mariano, RPT

  • Physical Therapist
  • Saipan, MP
  • NPI 1568214377
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1154537298",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10003",
            "address_2": "PMB 1341",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "GHIYEGHI ST. SAN JOSE BLDG STE102",
            "address_2": "MARIANAS HEALTH LLC",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIANAS HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "DE BELEN",
        "authorized_official_first_name": "EVELYN",
        "authorized_official_middle_name": "P.",
        "authorized_official_title_or_position": "BILLING MANAGER",
        "authorized_official_telephone_number": "670-233-4646",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MP",
            "license": "10723-0004",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3R-032",
            "state": "MP"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PACIFIC WELLNESS CENTER",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marianas Eye Institute Inc
• Marianas Global Ventures LLC
• Marianas Health Services Inc
• Marianas Health Services Inc (MHS Home Care)
• Marianas Health Services, Inc (MHS Hospice)
• Marianas Health Services, Inc (Allied Medical Supply)
• Marianas Health Services, Inc (Medical Solutions of Micronesia)
• Marianas Home Care & Hospice, LLC
• Marianas Home Care & Hospice, LLC
• Marianas Medical Center

• Physical Therapy Clinic/Center in Saipan, MP
• Providers in Saipan, MP by specialty
• Physical Therapy Clinic/Center in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.