| Kagman Community Health Center Inc | |
|
5 Canal Street Tinian MP 96952 | |
| (670) 256-5248 | |
| Not Available |
| Full Name | Kagman Community Health Center Inc |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 5 Canal Street, Tinian, Northern Mariana Islands |
| Authorized Official Name and Position | Vincent T Castro (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 6707837100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Kagman Community Health Center Inc Po Box 5723 Saipan MP 96950-5556 Ph: (670) 783-7100 | Kagman Community Health Center Inc 5 Canal Street Tinian MP 96952 Ph: (670) 256-5248 |
| NPI Number | 1891326070 |
|---|---|
| Provider Enumeration Date | 01/28/2020 |
| Last Update Date | 01/28/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891326070 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Commonwealth Healthcare Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: San Jose Village, Corner Of Canal Street & Broadway, Tinian, MP 96952 Phone: 670-433-9233 |