NPIMap

Organization Active NPI

American Samoa Medical Center

  • General Acute Care Hospital
  • Pago Pago, AS
National Provider Identifier
1184082190
Registry record updated Feb 4, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3003C Issued in AS
Legal business name
AMERICAN SAMOA MEDICAL CENTER
Practice address
1 Turner Drive
Pago Pago, AS 96799-9994
Phone
(684) 633-1222
Fax
(684) 633-1896
NPI assigned
Feb 4, 2016
Last updated
Feb 4, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 4, 2016

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

Authorized official

Name
Mrs. Bienaida L Vergara, M.D.NPI 1912390790
Title
Emergency Room Physician
Phone
(684) 633-1222

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3003C AS Primary

Addresses

Primary practice location

1 Turner Drive
Pago Pago, AS 96799-9994

Mailing address

PO Box LBJ
Pago Pago, AS 96799-0010
Phone (684) 633-1222

Other names 1

  • lbj tropical medical center Other name

National Provider Directory

National Provider Directory
Tax ID family
American Samoa Tropical Medical Center11 organizations share this tax ID, including this one

Other organizations with this tax ID 10

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

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1454544000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1454544000000",
    "number": "1184082190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX LBJ",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967990010",
            "telephone_number": "684-633-1222",
            "fax_number": "684-633-1896"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 TURNER DRIVE",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "967999994",
            "telephone_number": "684-633-1222",
            "fax_number": "684-633-1896"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SAMOA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-02-04",
        "last_updated": "2016-02-04",
        "status": "A",
        "authorized_official_last_name": "VERGARA",
        "authorized_official_first_name": "BIENAIDA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "EMERGENCY ROOM PHYSICIAN",
        "authorized_official_telephone_number": "684-633-1222",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "AS",
            "license": "3003C",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "lbj tropical medical center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pago Pago, AS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 4, 2016; 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.