Kagman Community Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

KAGMAN COMMUNITY HEALTH CENTER, INC.

Doing business as

Southern Isla Community Health

Practice address

856 Chalan Tun Thomas P. Sablan San Antonio
Saipan, MP 96950-5556

Phone

(670) 234-5242

Fax

(670) 234-5245

NPI assigned

Mar 20, 2023

Last updated

Aug 17, 2026By the provider in NPPES

Organization subpart

Yes

Parent organization

KAGMAN COMMUNITY HEALTH CENTER, INC.As reported in NPPES

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

Authorized official

Name

Dr. Cindy Pangelinan Hoepner, DHSC,MBA,FACHE,CHC

Title

Chief Executive Officer

Phone

(670) 234-5242

Specialties & licenses 1

Addresses

Other names 1

• Southern Isla Community Health Doing business as

Medicare fee-for-service enrollment

Enrolled in MP

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1174225486. Details of each certification follow.

• CCN 661008 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 661008

Legal name

SOUTHERN ISLA COMMUNITY HEALTH

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Oct 4, 2023

Last certification

Oct 4, 2023

Ownership / control type

For profit – corporation

Facility address

856 Chalan Tun Thomas P Sablan
Garapan, MP 96950

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kagman Community Health Center Inc

  dba Kagman Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Saipan, MP
  • NPI 1770002446

  O20210916000735

  Same enrollment
• Kagman Community Health Center Inc

  dba Tinian Isla Community Health

  • Federally Qualified Health Center (FQHC)
  • Tinian, MP
  • NPI 1891326070

  O20210916000735

  Same enrollment

Part of

Kagman Community Health Center Inc

Practitioners 1

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.

• Tiffany Willis, MD

  • Family Medicine Physician
  • Marengo, IA
  • NPI 1750370383
  NPD

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

{
    "created_epoch": "1679270400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1786924800000",
    "number": "1174225486",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 355",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969506005",
            "telephone_number": "670-234-5242",
            "fax_number": "670-234-5245"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "856 CHALAN TUN THOMAS P. SABLAN SAN ANTONIO",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969505556",
            "telephone_number": "670-234-5242",
            "fax_number": "670-234-5245"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAGMAN COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAGMAN COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2023-03-20",
        "last_updated": "2026-08-17",
        "certification_date": "2026-08-17",
        "status": "A",
        "authorized_official_last_name": "HOEPNER",
        "authorized_official_first_name": "CINDY",
        "authorized_official_middle_name": "PANGELINAN",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "670-234-5242",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DHSC,MBA,FACHE,CHC"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Southern Isla Community Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Patsylynn Jetley
• Alexander Johanson, PA-C
• Joseph L. Lescano
• Joseph L. Lescano (Medquest Medical Supply)
• Kagman Community Health Center Inc (Kagman Community Health Center)
• Kaiser Group of Medical Clinics & Residential Facilities, Inc.
• Kaiser Group of Medical Clinics and Residential Facilities, Inc. (Kaiser Home Health Agency)
• Jaymie Kanda, PHARM.D.
• Christine Peters Kapileo
• Brent Wicker Katz, PA-C

• Federally Qualified Health Center (FQHC) in Saipan, MP
• Providers in Saipan, MP by specialty
• Federally Qualified Health Center (FQHC) in Northern Mariana Islands

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.