NPIMap

Organization Active NPI

Government of Guam Department of Administration

Doing business as Central Public Health

  • Health Service Clinic/Center
  • Mangilao, GU
National Provider Identifier
1174969331
Registry record updated May 15, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION
Doing business as
Central Public Health
Practice address
123 Chalan Kareta
Mangilao, GU 96913-6304
Phone
(671) 735-7111
Fax
(671) 734-7097
NPI assigned
May 15, 2013
Last updated
May 15, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 15, 2013

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

Authorized official

Name
Mr. James W Gillan, MPH
Title
Director
Phone
(671) 735-7101

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X GU Primary

Addresses

Primary practice location

123 Chalan Kareta
Mangilao, GU 96913-6304

Mailing address

123 Chalan Kareta
Mangilao, GU 96913-6304
Phone (671) 735-7111

Other names 1

  • Central Public Health Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Government of Guam Department of Administration13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1368576000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1368576000000",
    "number": "1174969331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "123 CHALAN KARETA",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "969136304",
            "telephone_number": "671-735-7111",
            "fax_number": "671-734-7097"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "123 CHALAN KARETA",
            "city": "MANGILAO",
            "state": "GU",
            "postal_code": "969136304",
            "telephone_number": "671-735-7111",
            "fax_number": "671-734-7097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-05-15",
        "last_updated": "2013-05-15",
        "status": "A",
        "authorized_official_last_name": "GILLAN",
        "authorized_official_first_name": "JAMES",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "671-735-7101",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Central Public Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Mangilao, GU

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.