Take Kolisi Naseri

Individual provider Active NPI General Acute Care Hospital · Pago Pago, AS

NPI 1295913895 · NPPES record last updated Feb 6, 2008

Key facts

NPI
1295913895
Entity type
Individual (NPI type 1)
Primary specialty
General Acute Care Hospital 282N00000X
License
2028-C (AS)
Practice address
4553 Nuuuli Rd.
Pago Pago, AS 96799-4553
Phone
(684) 699-5118
Fax
(684) 699-5336
NPI assigned
Feb 6, 2008
Sex
Male
Sole proprietor
Yes

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
2028-CASMDGeneral Acute Care Hospital

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 2028-C AS Yes

Addresses

Primary practice location

4553 Nuuuli Rd.
Pago Pago, AS 96799-4553

Mailing address

4553 Nuuuli Rd.
Pago Pago, AS 96799-4553
Phone (684) 699-5118

Other providers in Pago Pago, AS

All providers in Pago Pago, AS · General Acute Care Hospital in American Samoa

Sources for this page

Verify at the official NPI Registry.