NPIMap

Organization Active NPI

American Samoa Medical Center

  • Health Service Clinic/Center
  • Pago Pago, AS
National Provider Identifier
1306039698
Registry record updated Feb 20, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
AS967 Issued in AS
Legal business name
AMERICAN SAMOA MEDICAL CENTER
Practice address
LBJ
Box
Pago Pago, AS 96799
Phone
(684) 633-1222
Fax
(684) 633-5107
NPI assigned
Aug 21, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2013

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

Authorized official

Name
Mike Gerstenberger, FACHE
Title
Ceo
Phone
(684) 633-1222

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X AS967 AS Primary

Addresses

Primary practice location

LBJ
Box
Pago Pago, AS 96799

Mailing address

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

Other names 1

  • LBJ Tropical Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130228000447 AS Part A Provider - Hospital 4385545870 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Pago Pago, AS

Hospital certification: CCN 640001

Legal name
AMERICAN SAMOA MEDICAL CENTER
Doing business as
LBJ TROPICAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Dec 16, 2024
Beds
124 (120 certified)
Ownership / control type
Hospital district or authority
Organization structure
GovernmentNon-profit
Enrollment address
1 Turner Dr
Pago Pago, AS 96799-0010
Main/Primary Hospital Location
Hospital subgroups
Acute care, Other

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
LBJ Tropical Medical CenterCCN 640001
Type
Acute Care Hospitals
Ownership
Government - Hospital District or Authority
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Department of Search and Rescue Sar3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Ownership & related parties

All disclosed owners & managing parties 4

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Julia Peau Individual W-2 Managing EmployeeBilling Supervisor Jan 8, 1990
American Samoa Medical Center Organization, Pago Pago, AS Non-profit Operational/Managerial Control May 1, 2016
Sabrina Felila Leaupepe-Valaulu Individual Corporate OfficerActing Chief Financial Officer Feb 14, 2025
W-2 Managing Employee Dec 13, 2024
Scott Anesi Individual Corporate OfficerChief Executive Officer Nov 18, 2024

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1361318400000",
    "number": "1306039698",
    "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": "96799",
            "telephone_number": "684-633-1222",
            "fax_number": "684-633-5107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "LBJ",
            "address_2": "BOX",
            "city": "PAGO PAGO",
            "state": "AS",
            "postal_code": "96799",
            "telephone_number": "684-633-1222",
            "fax_number": "684-633-5107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "AMERICAN SAMOA MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-21",
        "last_updated": "2013-02-20",
        "status": "A",
        "authorized_official_last_name": "GERSTENBERGER",
        "authorized_official_first_name": "MIKE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "684-633-1222",
        "authorized_official_credential": "FACHE"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "AS",
            "license": "AS967",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LBJ Tropical Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Pago Pago, AS

Sources for this page

Verify at the official NPI Registry.