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COMMONWEALTH HEALTHCARE CORPORATION NPI 1619217742


NPI Information

NPI: 1619217742
Provider Name: COMMONWEALTH HEALTHCARE CORPORATION

Doing Business As: KAGMAN COMMUNITY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 66D2147106

Address:
1 LEMMAI WAY KAGMAN II
BUILDINGS 1 & 2
SAIPAN, MP
ZIP 96950
Phone: (670) 256-5242
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COMMONWEALTH HEALTHCARE CORPORATION is a federally qualified health center (fqhc) clinic center in Saipan, MP. COMMONWEALTH HEALTHCARE CORPORATION NPI is 1619217742. The provider is registered as an organization entity type.
The provider Is Doing Business As Kagman Community Health Center.

The provider's business location address is:

1 LEMMAI WAY KAGMAN II
BUILDINGS 1 & 2
SAIPAN, MP
ZIP 96950-409
Phone: (670) 256-5242
Fax: (670) 256-5244

The provider's authorized official is Vincent T Castro .
The authorized official title is Executive Director and has the following contact phone number (670) 256-5242.

The CLIA number assigned to this NPI record is 66D2147106 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/27/2013 and was last updated on 2/16/2015.


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
1261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)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
1661800MEDICARE OSCAR/CERTIFICATIONMARIANA ISLANDS

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

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