Commonwealth Healthcare Corporation
Organization Active NPI Rural Health Clinic/Center · Rota, MP
NPI 1679097315 · NPPES record last updated Aug 2, 2017
Key facts
- NPI
- 1679097315
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Rural Health Clinic/Center 261QR1300X
- Legal business name
- COMMONWEALTH HEALTHCARE CORPORATION
- Practice address
- PO Box 1249
Rota, MP 96951-1249 - Phone
- (670) 532-9461
- NPI assigned
- Aug 2, 2017
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMONWEALTH HEALTHCARE CORPORATION
Authorized official
- Name
- Esther L Muna
- Title
- Chief Executive Officer
- Phone
- (670) 234-8950
Other NPIs on the same Medicare enrollment 2
Corporate family (same tax ID) 5
Member organizations 1
Practitioners 48
-
Shaan Akhtar, M.D.
-
Katherine L Arenz, D.O.
-
Allison V Brewer, MD
-
Felix T Cabrera, M.D.
-
Melissa Sydow Chladek, M.D.
-
Brian J Citro, MD
-
Trevor Fisher, MD
-
Dimitris Gerothanassis, M.D.
-
James A Gilbert, MD
-
David A Goodman, M.D.
-
Sabine Arwen Kelischek, M.D.
-
Javier Loeza, MD
-
Melissa Kay Loomis, DNP
-
Donald Edward McLawhorn Jr., MD, PHD
-
Jonathan Warren McNeely, M.D.
-
Shelby Murphy, M.D.
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MP
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20071212000093 | MP | Part B Supplier - Clinic/Group Practice | 7719075167 |
Receives reassigned benefits from 236 practitioners 2 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Saipan, MP; Tinian, MP; Rota, MP |
National Provider Directory
- Tax ID family
- Commonwealth Healthcare Corporation Outpatient Pharmacy
- Part of
- Commonwealth Healthcare Corporation Outpatient Pharmacy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rural Health Clinic/Center | 261QR1300X | Yes |
Addresses
Primary practice location
PO Box 1249
Rota, MP 96951-1249
Mailing address
PO Box 500409
Saipan, MP 96950-0409
Phone (670) 234-8950
Other names
- Rota Health Center
Other providers in Rota, MP
All providers in Rota, MP · Rural Health 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 Aug 2, 2017. 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.