| Government Of Guam Department Of Administration | |
|
520 W Santa Monica Ave Dededo GU 96929-5286 | |
| (671) 635-7492 | |
| (671) 635-7493 |
| Full Name | Government Of Guam Department Of Administration |
|---|---|
| Speciality | Clinic/Center |
| Location | 520 W Santa Monica Ave, Dededo, Guam |
| Authorized Official Name and Position | Mary Jane H Capuz (ACCOUNTANT II) |
| Authorized Official Contact | 6716357545 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Government Of Guam Department Of Administration 520 W Santa Monica Ave Dededo GU 96929-5286 Ph: (671) 735-7101 | Government Of Guam Department Of Administration 520 W Santa Monica Ave Dededo GU 96929-5286 Ph: (671) 635-7492 |
| NPI Number | 1972577104 |
|---|---|
| Provider Enumeration Date | 02/14/2006 |
| Last Update Date | 06/14/2022 |
| Medicare PECOS PAC ID | 6103920525 |
|---|---|
| Medicare Enrollment ID | O20070323000566 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1972577104 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Guam) | Primary |
George P Macris Md Pc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 2214 Army Drive, Harmon, Dededo, GU 96929 Phone: 671-637-1777 Fax: 671-637-4385 | |
Blue Ocean Medical Group Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 655 Harmon Loop Rd Ste 108, Dededo, GU 96929 Phone: 671-633-4447 | |
Guam Healthcare Development Incorporated Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 Fax: 671-645-5549 | |
Blue Continent Healthcare Guam Medical City Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 133 Route 3, Dededo, GU 96929 Phone: 671-645-5500 | |
International Health Providers, Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 655 Harmon Loop Rd, Suite 108, Dededo, GU 96929 Phone: 671-929-6214 | |
Dept. Of Public Health Pharmacy-nrchc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 520 W Santa Monica Ave, Dededo, GU 96929 Phone: 671-635-7492 Fax: 671-635-7493 | |
Ambc P.c. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 330 W Marine Corps Dr, Dededo, GU 96929 Phone: 671-637-8112 Fax: 671-637-8113 |