NPIMap

Organization Active NPI

Guam Memorial Hospital

  • General Acute Care Hospital
  • Oka Tamuning, GU
National Provider Identifier
1366519027
Registry record updated Oct 20, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
650001 Issued in GU
Legal business name
GUAM MEMORIAL HOSPITAL
Practice address
850 Governor Carlos Camacho Road
Oka Tamuning, GU 96913-3128
Phone
(671) 647-2937
Fax
(671) 649-0145
NPI assigned
Nov 29, 2006
Last updated
Oct 20, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 20, 2020

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

Authorized official

Name
Mrs. Lillian Q Perez Posadas, MN. RN
Title
Hospital Administrator, Ceo
Phone
(671) 647-2104

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 650001 GU Primary

Addresses

Primary practice location

850 Governor Carlos Camacho Road
Oka Tamuning, GU 96913-3128

Mailing address

850 Governor Carlos Camacho Road
Oka Tamuning, GU 96913-3128
Phone (671) 647-2934

Electronic endpoints 2

TypeEndpointUseAffiliation
CONNECT URL gmha.org Direct
CONNECT URL gmha.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in GU2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040426000038 GU Part B Supplier - Clinic/Group Practice 5890781694 Receives reassigned benefits from 324 practitioners
1 other NPI on this enrollment
Practice locations: Tamuning, GU
O20100825000321 GU Part A Provider - Hospital 5890781694 Practice locations: Tamuning, GU

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1366519027. Details of each certification follow.

Hospital certification: CCN 650001

Legal name
GUAM MEMORIAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Aug 13, 2025
Beds
159
Ownership / control type
Local
Organization structure
GovernmentNon-profit
Incorporated
in GU
Enrollment address
850 Gov Carlos G Camacho Rd
Tamuning, GU 96913-3128
Other Hospital Practice Location
Hospital subgroups
General

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

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
Guam Memorial Hospital AuthorityCCN 650001 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Local
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Locations

850 Gov Carlos G Camacho Rd
#R
Tamuning, GU 96913
Phone (671) 647-2552

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
Annie U Bordallo Individual Corporate DirectorMedical Director Jan 28, 2019 20%
Yukari Hechanova Individual Corporate OfficerChief Financial Officer Apr 22, 2019 5%
W-2 Managing EmployeeChief Financial Officer Apr 1, 2019 5%
Guam Memorial Hospital Organization, Tamuning, GU Non-profit Operational/Managerial Control Jan 28, 2019 100%
Lillian Q Perez-Posadas Individual Corporate OfficerHospital Administrator/Ceo Jan 28, 2019 50%

Owners & managing parties with NPI records 2

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

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Guam Memorial Hospital AuthorityBarrigada, GU, CCN 655000 Skilled nursing facility 5% Or Greater Direct Ownership Interest (5%)
Operational/Managerial Control (100%)
Direct Ownership Interest (100%)		 Oct 1, 1983
Dec 1, 1999
Oct 1, 1983

Owned or controlled facilities with NPI records 1

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

  • Guam Memorial Hospital
    • Skilled Nursing Facility
    • Oka Tamuning, GU
    • NPI 1952479131

    5% Or Greater Direct Ownership Interest, Direct Ownership Interest, Operational/Managerial Control

    CMS ownership

Facilities with the same owner 1

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 346

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 346

Affiliated clinicians 125

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

View all 125

NPI Registry JSON

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

{
    "created_epoch": "1164758400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1366519027",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "850 GOVERNOR CARLOS CAMACHO ROAD",
            "city": "OKA TAMUNING",
            "state": "GU",
            "postal_code": "969133128",
            "telephone_number": "671-647-2934",
            "fax_number": "671-649-0145"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "850 GOVERNOR CARLOS CAMACHO ROAD",
            "city": "OKA TAMUNING",
            "state": "GU",
            "postal_code": "969133128",
            "telephone_number": "671-647-2937",
            "fax_number": "671-649-0145"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-29",
        "last_updated": "2020-10-20",
        "certification_date": "2020-10-20",
        "status": "A",
        "authorized_official_last_name": "PEREZ POSADAS",
        "authorized_official_first_name": "LILLIAN",
        "authorized_official_middle_name": "Q",
        "authorized_official_title_or_position": "HOSPITAL ADMINISTRATOR, CEO",
        "authorized_official_telephone_number": "671-647-2104",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MN. RN"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "GU",
            "license": "650001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmha.org",
            "affiliation": "N",
            "endpointDescription": "Portal to view Patient Information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "850 Governor Carlos Camacho Road",
            "city": "Oka Tamuning",
            "state": "GU",
            "country_code": "US",
            "postal_code": "969133128",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "gmha.org",
            "affiliation": "N",
            "endpointDescription": "Portal to view Patient information",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "OTHER",
            "contentTypeDescription": "Other",
            "contentOtherDescription": "PDF",
            "address_1": "850 Governor Carlos Camacho Road",
            "city": "Oka Tamuning",
            "state": "GU",
            "country_code": "US",
            "postal_code": "969133128",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Oka Tamuning, GU

Sources for this page

Verify at the official NPI Registry.