Guam Memorial Hospital

Primary specialty

End-Stage Renal Disease (ESRD) Treatment Clinic/CenterTaxonomy code 261QE0700X

Legal business name

GUAM MEMORIAL HOSPITAL

Practice address

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

Phone

(671) 647-2104

Fax

(671) 649-5508

NPI assigned

Oct 17, 2007

Last updated

Oct 20, 2020By the provider in NPPES

Organization subpart

No

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

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1192579200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1603152000000",
    "number": "1396934253",
    "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": "671-647-2418",
            "fax_number": "671-649-5508"
        },
        {
            "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": "671-647-2104",
            "fax_number": "671-649-5508"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-10-17",
        "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": "261QE0700X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, End-Stage Renal Disease (ESRD) Treatment",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PROVIDER",
            "identifier": "652300",
            "state": null
        }
    ],
    "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"
        }
    ],
    "other_names": []
}

• Alix J Chenet, MD
• John H Garrido, MD
• Tedd D Groshong, DO
• Guam Memorial Hospital
• Guam Memorial Hospital
• Aaron C Johansen, MD
• Robert J Kwok, MD
• James P Last, MD
• Arthur J Loerzel, MD FCAP

• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Oka Tamuning, GU
• Providers in Oka Tamuning, GU by specialty
• End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.