| Guam Medical Health Care Center, Inc. | |
|
1757 Army Dr Suite 108 Tamuning GU 96913-1260 | |
| (671) 647-4533 | |
| (671) 647-1110 |
| Full Name | Guam Medical Health Care Center, Inc. |
|---|---|
| Speciality | Internal Medicine |
| Location | 1757 Army Dr, Tamuning, Guam |
| Authorized Official Name and Position | Eden E Villa (PHYSICIAN/DIRECTOR) |
| Authorized Official Contact | 6716474533 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Guam Medical Health Care Center, Inc. 1757 Army Dr Suite 108 Tamuning GU 96913-1260 Ph: (671) 647-4533 | Guam Medical Health Care Center, Inc. 1757 Army Dr Suite 108 Tamuning GU 96913-1260 Ph: (671) 647-4533 |
| NPI Number | 1902160211 |
|---|---|
| Provider Enumeration Date | 07/02/2012 |
| Last Update Date | 04/10/2014 |
| Medicare PECOS PAC ID | 5698931632 |
|---|---|
| Medicare Enrollment ID | O20120719000398 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1902160211 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | M1705 (Guam) | Primary |
| 261QH0100X | Clinic/center - Health Service | M-1705 (Guam) | Secondary |
| Provider Name | Eden E Villa |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1538108303 PECOS PAC ID: 6002702800 Enrollment ID: I20120719000424 |
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