Elim Pacific Ministries
Organization Active NPI Substance Abuse Rehabilitation Facility · Hagatna, GU
NPI 1740570795 · NPPES record last updated Jan 7, 2015
Key facts
- NPI
- 1740570795
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Substance Abuse Rehabilitation Facility 324500000X
- License
- 100059 (GU)
- Legal business name
- ELIM PACIFIC MINISTRIES
- Practice address
- 556 E Marine Corps Dr
Suite B
Hagatna, GU 96910-5186 - Phone
- (671) 646-4601
- Fax
- (671) 464-5601
- NPI assigned
- Apr 12, 2011
- Organization subpart
- No
Authorized official
- Name
- Mr. Robert J Zimmerman, CSAC
- Title
- Executive Director
- Phone
- (671) 646-4601
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Elim Pacific Ministries
Locations
556 E Marine Corps Dr
Ste B
Hagatna, GU 96910
Phone (671) 646-4601
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Community/Behavioral Health Agency | 251S00000X | GBHWC2015-SAGAN MAMI | GU | |
| Community/Behavioral Health Agency | 251S00000X | DVR-READY2WORK | GU | |
| Substance Abuse Rehabilitation Facility | 324500000X | 100059 | GU | Yes |
Addresses
Primary practice location
556 E Marine Corps Dr
Suite B
Hagatna, GU 96910-5186
Mailing address
556 E Marine Corps Dr
Suite B
Hagatna, GU 96910-5186
Phone (671) 646-4601
Other names
- Oasis Empowerment Center
Other providers in Hagatna, GU
- Lavina Terese Leon Guerrero Camacho
- Nadine Taijeron Cepeda
- Dawn Lynette Copp
- Custom Fitness LLC
- Daniel A. Duenas
- Elim Pacific Ministries
- Expresscare Health and Skin Center Inc.
- Sabrina Fletcher
- Robert Roy Gatewood
- Government of Guam
All providers in Hagatna, GU · Substance Abuse Rehabilitation Facility in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.