Active NPI
The Salvation Army
- Substance Abuse Rehabilitation Facility
- Tiyan, GU
National Provider Identifier
1275895005
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Substance Abuse Rehabilitation Facility
- Legal business name
- THE SALVATION ARMY
- Practice address
- 155004 Corsair Avenue
Tiyan, GU 96910-5004 - Phone
- (671) 477-7671
- Fax
- (671) 477-4649
- NPI assigned
- Jun 7, 2012
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Lourdes B Hongyee
- Title
- Program Coordinator
- Phone
- (671) 477-9801
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Substance Abuse Rehabilitation Facility | 324500000X | GU | Primary |
Addresses
Primary practice location
155004 Corsair Avenue
Tiyan, GU 96910-5004
Mailing address
PO Box 23038
Barrigada, GU 96921-3038
Phone (671) 477-7671
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1339027200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1339027200000",
"number": "1275895005",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 23038",
"city": "BARRIGADA",
"state": "GU",
"postal_code": "969213038",
"telephone_number": "671-477-7671",
"fax_number": "671-477-4649"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "155004 CORSAIR AVENUE",
"city": "TIYAN",
"state": "GU",
"postal_code": "969105004",
"telephone_number": "671-477-7671",
"fax_number": "671-477-4649"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE SALVATION ARMY",
"organizational_subpart": "NO",
"enumeration_date": "2012-06-07",
"last_updated": "2012-06-07",
"status": "A",
"authorized_official_last_name": "HONGYEE",
"authorized_official_first_name": "LOURDES",
"authorized_official_middle_name": "B",
"authorized_official_title_or_position": "PROGRAM COORDINATOR",
"authorized_official_telephone_number": "671-477-9801",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "324500000X",
"taxonomy_group": "",
"desc": "Substance Abuse Rehabilitation Facility",
"state": "GU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 7, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.