Guam Healthcare Development Incorporated
Organization Active NPI General Acute Care Hospital · Dededo, GU
NPI 1194159525 · NPPES record last updated Oct 27, 2024
Key facts
- NPI
- 1194159525
- Entity type
- Organization (NPI type 2)
- Primary specialty
- General Acute Care Hospital 282N00000X
- Legal business name
- GUAM HEALTHCARE DEVELOPMENT INCORPORATED
- Practice address
- 133 Route 3
Dededo, GU 96929-6911 - Phone
- (671) 645-5500
- Fax
- (671) 645-5549
- NPI assigned
- Aug 21, 2013
- Organization subpart
- No
Authorized official
- Name
- Alexander D. Wielaard, MD
- Title
- Chief Executive Officer
- Phone
- (706) 306-4668
Owners & managing parties with NPI records 1
Other NPIs with the same Medicare PAC ID 1
Practitioners 215
-
Meagan Bamba-Ada, FNP-C
-
Leslie Anne Chua, M.D.
-
Teofila Maria Perez Cruz, MSN, APRN, FNP-C
-
Christian Ada Eusebio, M.D.
-
Carmelino L Galang, M.D.
-
Carla Torres Haddock, FNP-C
-
Ji Yeong Kang, M.D.
-
Lena Leishman, NP-C, RN, BSN
-
Nancy Lentz, M.D.
-
Pei-Chang Liu, M.D., M.P.H
-
Edison Pineda Manaloto, M.D.
-
Daniel H Moges, M.D.
-
Chawat Tongma, M.D.
-
Wasin Ahuja, M.D.
-
Jessica Lynn Blakely, AGACNP
-
Ria Arlina Cebu Calata, M.D.
-
Christopher Paul McDonald Carbullido, MEDICAL STUDENT
-
Daniel C Medina, MD
-
John Reinier Favor Narvaez, MD, MPH
-
Thomas Park, M.D.
Affiliated clinicians 199
-
Michael Calica Agustin, M.D.
-
Meagan Bamba-Ada, FNP-C
-
Bryan Christopher Bansil, DNP, ACNPC-AG
-
Jerry Reyes Castro, M.D.
-
Leslie Anne Chua, M.D.
-
Kevin Thomas Cohen, M.D.
-
Daniel Jay Crosby, CRNA
-
Michael W Cruz, MD
-
Teofila Maria Perez Cruz, MSN, APRN, FNP-C
-
Anna Karmela De Belen, APRN-NP BC
-
Christian Ada Eusebio, M.D.
-
Ann Fenton, M.D.
-
Carmelino L Galang, M.D.
-
Edna Ganacias-Acuna, M.D.
-
Carla Torres Haddock, FNP-C
-
Justin Sanders Hale, M.D.
-
Ji Yeong Kang, M.D.
-
Byungsoo Kim, M.D.
Medicare Care Compare: Hospital
- Listed as
- Guam Regional Medical City
- Type
- Acute Care Hospitals
- Ownership
- Proprietary
- Medicare certification status
- Active
- Emergency services
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in HI
Hospital certification: CCN 650003
- Legal name
- GUAM HEALTHCARE DEVELOPMENT INCORPORATED
- Doing business as
- GUAM REGIONAL MEDICAL CITY
- Certification status
- Active
- Provider type (POS)
- Hospital – Short-term
- Participating since
- Jan 8, 2016
- Last certification
- Oct 10, 2025
- Beds
- 154 (130 certified)
- Ownership / control type
- Private (for profit)
- Organization structure
- Corporation · Proprietary
- Incorporated
- Aug 20, 2009 in GU
- Enrollment address
- 133 Route 3
Dededo, GU 96929-6911 - Hospital subgroups
- General
All disclosed owners & managing parties 2
| Name | Role | Since | Share |
|---|---|---|---|
| Thomas Johnston Smith |
Corporate Director |
Nov 19, 2018 | |
| Alexander Duncan Wielaard |
Corporate Officer |
Aug 5, 2023 | |
| Corporate Director |
Dec 1, 2021 | ||
| Operational/Managerial Control | Aug 5, 2023 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20141117001359 | HI | Part a Provider - Hospital | 9234351776 | Practice locations: Dededo, GU |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Acute Care Hospital | 282N00000X | Yes |
Addresses
Primary practice location
133 Route 3
Dededo, GU 96929-6911
Mailing address
133 Route 3
Dededo, GU 96929-6911
Phone (671) 645-5500
Other names
- Guam Regional Medical City
Other providers in Dededo, GU
- GNN Corporation
- Camille Gonzales
- Jarod Goodrich
- Government of Guam Department of Administration
- Government of Guam Department of Administration
- Guam Healthcare Development Incorporated
- Guam Regional Medical City
- Kathryn Mary Guffrey
- Gurusamy Inc.
- Sarah Elisabeth Haley-Wien
All providers in Dededo, GU · General Acute Care Hospital in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 27, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.