CHARITY GERIATRIC AND WOUND CARE MEDICAL CENTER NPI 1881366540

NPI Information

  • NPI: 1881366540
  • Provider Name: CHARITY GERIATRIC AND WOUND CARE MEDICAL CENTER
  • Classification: Family Medicine - 207QG0300X
  • Specialization: Geriatric Medicine
  • Entity Type: Organization
  • Address: 4099 NUUULI
    PAGO PAGO, AS
    ZIP 96799
  • Phone: (684) 733-0833

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NPI Details

CHARITY GERIATRIC AND WOUND CARE MEDICAL CENTER is a geriatric medicine family medicine in Pago Pago, AS. The provider is a family medicine physician with special knowledge of the aging process and special skills in the diagnostic, therapeutic, preventive and rehabilitative aspects of illness in the elderly. This specialist cares for geriatric patients in the patient's home, the office, long-term care settings such as nursing homes, and the hospital. CHARITY GERIATRIC AND WOUND CARE MEDICAL CENTER NPI is 1881366540. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4099 NUUULI
PAGO PAGO, AS
ZIP 96799
Phone: (684) 733-0833

The provider's authorized official is Monita Prem Adip .
The authorized official title is Chief Medical Officer and has the following contact phone number (684) 699-3279.

The enumeration date for this NPI number is 10/1/2021 and was last updated on 10/1/2021.

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
1207QG0300XFamily MedicineGeriatric MedicineYes

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: 11/21/2025

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