THE DOCTORS CLINIC NPI 1467503433

NPI Information

NPI: 1467503433
Provider Name: THE DOCTORS CLINIC

Former Legal Business Name: FAMILY MEDICAL CLINIC

Classification: Family Medicine - 207Q00000X
Entity Type: Organization
Address:
851 GOVERNOR CARLOS CAMACHO ROAD
TAMUNING, GU
ZIP 96913
Phone: (671) 648-2711
Get Directions

THE DOCTORS CLINIC is a family medicine in Tamuning, GU. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. THE DOCTORS CLINIC NPI is 1467503433. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Former Legal Business Name Is Family Medical Clinic.

The provider's business location address is:

851 GOVERNOR CARLOS CAMACHO ROAD
TAMUNING, GU
ZIP 96913-153
Phone: (671) 648-2711
Fax: (671) 646-3639

The provider's authorized official is Benny M Paulino .
The authorized official title is Chief Operating Officer and has the following contact phone number (671) 647-5212.

The enumeration date for this NPI number is 1/16/2007 and was last updated on 11/29/2007.

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	License State	Primary
1	207R00000X	Internal Medicine		No
2	208600000X	Surgery		No
3	213E00000X	Podiatrist		No
4	207Q00000X	Family Medicine	SOUTH CAROLINA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	HTDC1	MEDICARE PIN	GUAM

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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