Guam Geriatrics Clinic

LBN: Guam Geriatrics Clinic
Guam Geriatrics Clinic is an health care organization with primary practice located at 633 Gov Carlos G Camacho Rd Ste. 205, Tamuning GU 96913-3194. The organization recently has only one registered license in Ambulatory Health Care Facilities / Clinic/Center, which is considered as the primary health care specialty. Guam Geriatrics Clinic can be contacted via phone (671) 649-7232, or through Untalan, Stephanie Ann Manibusan via phone (671) 649-7232.

Contact Information

Primary practice address
633 Gov Carlos G Camacho Rd Ste. 205 Tamuning GU 96913-3194
Phone: (671) 649-7232
Fax: (671) 649-7233
Website:
Map and Directions
Authorized official contact:
Name: Untalan, Stephanie Ann Manibusan
Phone: (671) 649-7232

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Clinic/Center 261Q00000X M-1360 Guam

Profile Details

NPI number 1487907234
LBN Legal business name Guam Geriatrics Clinic
DBA Doing business as
Authorized official Untalan, Stephanie Ann Manibusan
Entity Organization
Organization subpart 1 No
Enumeration date Oct 17th, 2012
Last updated Apr 18th, 2013 - about 13 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1487907234 NPPES
Guam Other 1063517639 PROVIDER NPI

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