Organization Active NPI

Sagan Hinemlo' Family Clinic, LLC

  • Health Service Clinic/Center
  • Saipan, MP
National Provider Identifier
1396017489
Registry record updated Oct 22, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
Legal business name
SAGAN HINEMLO' FAMILY CLINIC, LLC
Practice address
2588 Wischiira Way Oleai
Marianas Health LLC BLDG Ste 101
Saipan, MP 96950-8903
Phone
(670) 233-4646
Fax
(670) 233-4648
NPI assigned
Feb 3, 2012
Last updated
Oct 22, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2026

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

Authorized official

Name
Amber Lynn Rosario Mendiola
Title
Ceo/Administrator
Phone
(670) 233-4646

Specialties & licenses 1

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

Addresses

Primary practice location

2588 Wischiira Way Oleai
Marianas Health LLC BLDG Ste 101
Saipan, MP 96950-8903

Mailing address

Pob 10003 PMB 1341
Saipan, MP 96950-8903
Phone (670) 233-4646

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130614000045 MP Part B Supplier - Clinic/Group Practice 3274787908 Receives reassigned benefits from 5 practitioners
Practice locations: Saipan, MP

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1328227200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1792627200000",
    "number": "1396017489",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "POB 10003 PMB 1341",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2588 WISCHIIRA WAY OLEAI",
            "address_2": "MARIANAS HEALTH LLC BLDG STE 101",
            "city": "SAIPAN",
            "state": "MP",
            "postal_code": "969508903",
            "telephone_number": "670-233-4646",
            "fax_number": "670-233-4648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SAGAN HINEMLO' FAMILY CLINIC, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-02-03",
        "last_updated": "2026-10-22",
        "certification_date": "2026-10-21",
        "status": "A",
        "authorized_official_last_name": "MENDIOLA",
        "authorized_official_first_name": "AMBER LYNN",
        "authorized_official_middle_name": "ROSARIO",
        "authorized_official_title_or_position": "CEO/ADMINISTRATOR",
        "authorized_official_telephone_number": "670-233-4646"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saipan, MP

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.