Health Professional Corporation
Organization Active NPI Health Service Clinic/Center · Saipan, MP
NPI 1366467110 · NPPES record last updated Sep 25, 2007
Key facts
- NPI
- 1366467110
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Health Service Clinic/Center 261QH0100X
- License
- 777 0001 1 (MP)
- Legal business name
- HEALTH PROFESSIONAL CORPORATION
- Practice address
- Kulot de Rosa Dr., Chalan Kiya
Pob 502878
Saipan, MP 96950 - Phone
- (670) 234-2901
- Fax
- (670) 234-2906
- NPI assigned
- Jul 13, 2006
- Organization subpart
- No
Authorized official
- Name
- Dr. Vicente Sablan Aldan, M.D.
- Title
- President/Director
- Phone
- (670) 234-2901
Corporate family (same tax ID) 1
Practitioners 6
-
Vicente Sablan Aldan, M.D.
-
Erin Kelle Dean, PHYSICIAN ASSISTANT
-
Edwin L Clonts, MD
-
Leticia Dedumo Reyes, NPC
-
Saied Safabakhsh, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MP
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040311000522 | MP | Part B Supplier - Clinic/Group Practice | 7911896758 |
Receives reassigned benefits from 5 practitioners Practice locations: Saipan, MP |
National Provider Directory
- Tax ID family
- Health Professional Corporation
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Health Service Clinic/Center | 261QH0100X | 777 0001 1 | MP | Yes |
Addresses
Primary practice location
Kulot de Rosa Dr., Chalan Kiya
Pob 502878
Saipan, MP 96950
Mailing address
Kulot de Rosa Dr., Chalan Kiya
Pob 502878
Saipan, MP 96950
Phone (670) 234-2901
Other names
- Saipan Health Clinic
Other providers in Saipan, MP
- Donald Hardt
- Kenneth Samuel Hart
- Michael Hart
- Health Plus, Inc.
- Health Professional Corporation
- Healthy Farmers, LLC
- Mary Elizabeth Coronel Hernandez
- Hippocrates Medical Equipment and Services
- Hippocrates Sleep Disorder Diagnostic Center
- Larry Borja Hocog
All providers in Saipan, MP · Health Service Clinic/Center in Northern Mariana Islands
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2007. 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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.