Guam Medical Care, LLC

Primary specialty

Urgent Care Clinic/CenterTaxonomy code 261QU0200X

License

13-200600396-001 Issued in GU

Legal business name

GUAM MEDICAL CARE, LLC

Practice address

744 N Marine Dr
Suite 105
Tamuning, GU 96913-4426

Phone

(671) 647-4174

Fax

(671) 647-4199

NPI assigned

Apr 26, 2007

Last updated

Aug 22, 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

Dr. Geoffrey Perpetua Galgo, M.D.NPI 1437379575

Title

Director

Phone

(671) 647-4174

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GU

Enrollment records 1

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Geoffrey Perpetua Galgo, DOCTOR OF MEDICINE

  • Specialist
  • Tamuning, GU
  • NPI 1437379575
  Medicare reassignment NPD Authorized official
• Kazue T Johansen, P.A.

  • Medical Physician Assistant
  • Wailuku, HI
  • NPI 1487623369

  GU

  Medicare reassignment

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

{
    "created_epoch": "1177545600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932329802",
    "addresses": [
        {
            "country_code": "UM",
            "country_name": "United States Minor Outlying Islands",
            "address_purpose": "MAILING",
            "address_type": "FGN",
            "address_1": "744 NORTH MARINE DRIVE",
            "address_2": "SUITE 105",
            "city": "TAMUNING",
            "state": "GUAM",
            "postal_code": "96913",
            "telephone_number": "671-647-4174",
            "fax_number": "671-647-4199"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "744 N MARINE DR",
            "address_2": "SUITE 105",
            "city": "TAMUNING",
            "state": "GU",
            "postal_code": "969134426",
            "telephone_number": "671-647-4174",
            "fax_number": "671-647-4199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GUAM MEDICAL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-26",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "GALGO",
        "authorized_official_first_name": "GEOFFREY",
        "authorized_official_middle_name": "PERPETUA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "671-647-4174",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "M.D."
    },
    "taxonomies": [
        {
            "code": "261QU0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Urgent Care",
            "state": "GU",
            "license": "13-200600396-001",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Guam Dermatology Institute LLC (Guam Dermatology Institute)
• Guam Dialysis Center, Inc.
• Guam E.N.T., LLC
• Guam Geriatrics Clinic
• Guam Hematology Oncology Associates, Inc.
• Guam Medical Equipment and Supplies, LLC
• Guam Medical Equipment, LLC (Guam Medical)
• Guam Medical Health Care Center, Inc.
• Guam Medical Imaging Center LLC
• Guam Medical Pharmacy Corporation (Guam Medical Pharmacy)

• Urgent Care Clinic/Center in Tamuning, GU
• Providers in Tamuning, GU by specialty
• Urgent Care Clinic/Center in Guam

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.