Guam Dialysis Center, Inc.
Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Hagatna, GU
NPI 1831161728 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1831161728
- Entity type
- Organization (NPI type 2)
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
- Legal business name
- GUAM DIALYSIS CENTER, INC.
- Practice address
- 265 Chalan Santo Papa
Hagatna, GU 96910 - Phone
- (671) 475-3600
- Fax
- (671) 477-2759
- NPI assigned
- Feb 3, 2006
- Organization subpart
- No
Authorized official
- Name
- Mr. Jerry Green
- Title
- Secretary
- Phone
- (562) 495-8075
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Guam Dialysis Center Inc
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| End-Stage Renal Disease (ESRD) Treatment Clinic/Center | 261QE0700X | Yes |
Addresses
Primary practice location
265 Chalan Santo Papa
Hagatna, GU 96910
Mailing address
1 World Trade Ctr
2500
Long Beach, CA 90831-0002
Phone (562) 495-8075
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 191 | Medicaid | GU |
Other names
- GUAM RENAL CARE
Other providers in Hagatna, GU
- Elim Pacific Ministries
- Expresscare Health and Skin Center Inc.
- Sabrina Fletcher
- Robert Roy Gatewood
- Government of Guam
- Guam Fire Department
- Guam Fire Department - Government of Guam
- Guam Urgent Care
- Rosemarie Guilliot
- Haddock Health, PC
All providers in Hagatna, GU · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in Guam
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. 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.