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American Samoa Medical Center

Organization Active NPI End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Pago Pago, AS

NPI 1861549321 · NPPES record last updated Apr 1, 2025

Key facts

NPI
1861549321
Entity type
Organization (NPI type 2)
Primary specialty
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X
Legal business name
AMERICAN SAMOA MEDICAL CENTER
Practice address
LBJ
Box
Pago Pago, AS 96799
Phone
(684) 633-1222
Fax
(684) 633-5107
NPI assigned
Jan 5, 2007
Organization subpart
No

Authorized official

Name
Scott Anesi
Title
Ceo
Phone
(684) 633-1222

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Other NPIs with the same Medicare PAC ID 2

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Corporate family (same tax ID) 10

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AS

All facility ownership & control disclosures 1

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
LBJ Tropical Medical Center
Pago Pago, AS · CCN 640001		 Hospital Operational/Managerial Control May 1, 2016

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
O20130228000488 AS Part a Provider - End-Stage Renal Disease Facility (ESRD) 4385545870 Practice locations: Pago Pago, AS

National Provider Directory

Tax ID family
American Samoa Tropical Medical Center (11 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
End-Stage Renal Disease (ESRD) Treatment Clinic/Center 261QE0700X Yes
Chronic Disease Hospital 281P00000X 64D0724937 AS
Chronic Disease Hospital 281P00000X
General Acute Care Hospital 282N00000X

Addresses

Primary practice location

LBJ
Box
Pago Pago, AS 96799

Mailing address

PO Box LBJ
Pago Pago, AS 96799
Phone (684) 633-1222

Other names

  • LBJ Tropical Medical Center Doing business as

Other providers in Pago Pago, AS

All providers in Pago Pago, AS · End-Stage Renal Disease (ESRD) Treatment Clinic/Center in American Samoa

Sources for this page

Verify at the official NPI Registry.