GUAM DIALYSIS CENTER, INC. (NPI# 1053383059) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1053383059 |
| Entity Type | Organization |
| Organization Name | GUAM DIALYSIS CENTER, INC. |
| Practice Address |
633 Governor Carlos B. Camacho Rd 106 Tamuning GU 96913 |
| Mailing Address |
1 World Trade Ctr 2500 Long Beach CA 90831-0002 |
| Practice Telephone | 6716463517 |
| Practice Fax Number | 6716463531 |
| Mailing Telephone | 5624958075 |
| Mailing Fax Number | 5624958076 |
| Enumeration Date | 2006-02-03 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | MR. JERRY GREEN (SECRETARY) |
| Authorized Official Telephone | 5624958075 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QE0700X |
Clinic/Center Specialization: End-Stage Renal Disease (ESRD) Treatment |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| GU | 252 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831161728 | Guam Dialysis Center, Inc. | Clinic/Center | 265 Chalan Santo Papa, Hagatna, GU 96910 | 2006-02-03 |
| Street Address |
633 GOVERNOR CARLOS B. CAMACHO RD 106 |
| City | TAMUNING |
| State | GU |
| Zip Code | 96913 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871126219 | Hannah Marie Sabo Laney | Behavior Technician | 212 Farenholt Ave., Tamuning, GU 96913 | 2020-02-13 |
| 1720618499 | Jacquelin Gouniai | Counselor | 121 North Sabana Drive Detcha Court, Barrigada Heights, GU 96913 | 2020-01-22 |
| 1205475753 | Gabriela Victoria Perez | Behavior Technician | 212 Farenholt Ave, Tamuning, GU 96913 | 2020-01-02 |
| 1073154944 | Quenie-mei Tuliao Fisher | Pharmacist | 790 Governor Carlos Camacho Rd, Tamuning, GU 96913 | 2019-10-02 |
| 1366090698 | Elizabeth Rabon | Technician | 251 Carnation Ave, Mangilao, GU 96913 | 2019-08-29 |
| 1467000299 | Yun Ming Lin | Pharmacist | 850 Gov. Carlos Camacho Street, Tamuning, GU 96913 | 2019-08-26 |
| 1902465354 | Anthony John Litwinchuk Jr. | Audiologist | Usnh Guam - Audiology Department, Bldg #50 Farenholt Ave, Agana Heights, GU 96913 | 2019-06-10 |
| 1124580600 | Khkn Corporation | Acupuncturist | 817 N Marine Corps Dr 109, Tamuning, GU 96913 | 2019-04-03 |
| 1700346541 | Amc Mental Health, LLC | Marriage & Family Therapist | 263 Vietnam Veterans Highway, Mangilao, GU 96913 | 2019-03-20 |
| 1295292365 | Jhaymie Lynn Salarzon Bejerana | Behavior Technician | Building 1350 #216, Upper Tumon, GU 96913 | 2019-02-26 |
| Find all providers in zip 96913 | ||||
| Taxonomy Code | 261QE0700X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | End-Stage Renal Disease (ESRD) Treatment |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790090678 | Rsa-tumon, LLC | Clinic/Center | 1406 N Marine Corps Dr, Tamuning, GU 96913-4310 | 2010-08-16 |
| 1295910255 | Rsa - Guam, LLC | Clinic/Center | 633 Gov Carlos G Camacho Rd, Suite 106, Tamuning, GU 96913-3194 | 2008-01-08 |
| 1447441670 | American Dialysis Center, Inc. | Clinic/Center | 1406 N Marine Corps Dr, Tamuning, GU 96913-4311 | 2007-08-05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881116697 | Usrc Finegayan LLC | Clinic/Center | 781 Route 3, Ste 101, Dededo, GU 96929-6913 | 2017-07-13 |
| 1831161728 | Guam Dialysis Center, Inc. | Clinic/Center | 265 Chalan Santo Papa, Hagatna, GU 96910 | 2006-02-03 |
| 1588849541 | Rsa - Guam, LLC | Clinic/Center | 736 Route 4, Suite 101, Sinajana, GU 96910-3368 | 2008-01-08 |
| 1396934253 | Guam Memorial Hospital | Clinic/Center | 850 Governor Carlos Camacho Road, Oka Tamuning, GU 96913-3128 | 2007-10-17 |
| 1346436441 | Renal Centers of Guam, LLC | Clinic/Center | 600 Harmon Loop Rd, Dededo, GU 96929-6536 | 2007-09-21 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.