EVERGREEN HEALTH CENTER LLC NPI 1356839575

NPI Information

NPI: 1356839575
Provider Name: EVERGREEN HEALTH CENTER LLC
Classification: Clinic/Center - 261QP2300X
Entity Type: Organization

Specialization: Primary Care

Address:
520 ROUTE 8
MAITE, GU
ZIP 96910
Phone: (671) 922-0118
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EVERGREEN HEALTH CENTER LLC is a primary care clinic center in Maite, GU. EVERGREEN HEALTH CENTER LLC NPI is 1356839575. The provider is registered as an organization entity type.

The provider's business location address is:

520 ROUTE 8
MAITE, GU
ZIP 96910
Phone: (671) 922-0118
Fax: (671) 477-2464

The provider's authorized official is Jayar Calilung .
The authorized official title is Clinic Manager and has the following contact phone number (671) 488-8817.

The enumeration date for this NPI number is 4/23/2018 and was last updated on 3/29/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QP2300X	Clinic/Center	Primary Care			Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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