EXPRESSCARE HEALTH AND SKIN CENTER (NPI# 1083845853) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1083845853 |
| Entity Type | Organization |
| Organization Name | EXPRESSCARE HEALTH AND SKIN CENTER |
| Practice Address |
302 S Route 4 Agana Shopping Center Suite 207 Chalan Pago GU 96910 |
| Mailing Address |
Po Box 3128 Hagatna GU 96932-3128 |
| Practice Telephone | 6714772873 |
| Practice Fax Number | 6714722873 |
| Mailing Telephone | 6714772873 |
| Mailing Fax Number | 6714722873 |
| Enumeration Date | 2009-07-28 |
| Last Update Date | 2009-07-28 |
| Authorized Official Name | DR. JITKA LOM (OWNER) |
| Authorized Official Telephone | 6716898997 |
| Authorized Official Credential | M.D. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | M1288 | GU | Ambulatory Health Care Facilities |
| Street Address |
302 S ROUTE 4 AGANA SHOPPING CENTER SUITE 207 |
| City | CHALAN PAGO |
| State | GU |
| Zip Code | 96910 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619919040 | Payless Markets Inc | Pharmacy | 302 S Route 4, Ste 118, Agana Shopping Ctr, Chalan Pago, GU 96910 | 2006-06-11 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1518576230 | Bo Henry Marshall | Physician Assistant | 302 S Route 4 Ste 207, Hagatna, GU 96910 | 2020-07-28 |
| 1972133361 | Elizabeth Quilitis Camacho | Licensed Practical Nurse | 127 2nd St Ocean Vista Tiyan, Maite, GU 96910 | 2020-01-24 |
| 1588200497 | Carrie Margeson | Pharmacist | Bldg #50 Farenholt Ave, Tutuhan, GU 96910 | 2019-11-26 |
| 1265075188 | Amy C Romero | Counselor | 144 Afia Building Suite 201, Hagatna, GU 96910 | 2019-10-23 |
| 1710549589 | Carmela Santos | Registered Nurse | Bldg #50, Farenholt Ave, Tutuhan, GU 96910 | 2019-07-02 |
| 1912469404 | Daniel A. Duenas | Social Worker | 222 Chalan Santo Papa Reflection Center, Hagatna, GU 96910 | 2019-04-03 |
| 1598238891 | Steven Butler | Counselor | 144 Aspinal Ave., Afia Bld. Suite 202, Hagatna, GU 96910 | 2019-01-09 |
| 1790275675 | Evangeline Claassens | Nurse Practitioner | 736 South Route 4, Suite 103, Sinajana, GU 96910 | 2018-05-16 |
| 1356839575 | Evergreen Health Center LLC | Clinic/Center | 520 Route 8, Maite, GU 96910 | 2018-04-23 |
| 1902312382 | Sarah Burton | Pharmacist | Building 50 Farenholt Blvd, Agana Heights, GU 96910 | 2017-12-20 |
| Find all providers in zip 96910 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184660045 | Health Services & Management Inc. | Clinic/Center | 177c Chalan Pasaheru, Tamuning, GU 96913-4127 | 2006-06-21 |
| 1275586877 | General Conference Corp of Sda | Clinic/Center | 388 Ypao Rd, Tamuning, GU 96913-3701 | 2006-05-18 |
| 1457329849 | American Medical Center, LLC | Clinic/Center | 1244 North Marine Corps Drive, Upper Tumon, GU 96913-4307 | 2006-03-10 |
| 1356330724 | Vik Management, Inc | Clinic/Center | 590 S Marine Dr, Suite 126, Tamuning, GU 96913-3507 | 2005-10-19 |
| 1265421630 | Vik Management, Inc | Clinic/Center | 416 Chalan San Antonio, Tamuning, GU 96913-3601 | 2005-10-19 |
| 1790266443 | Haddock Health, PC | Clinic/Center | 277 W Chalan Santo Papa, Hagatna, GU 96910-5115 | 2018-08-21 |
| 1013422435 | Haganta Clinic, PC | Clinic/Center | 277 W Chalan Santo Papa, Hagatna, GU 96910-5115 | 2017-12-07 |
| 1780125047 | Ambc P.C. | Clinic/Center | 330 W Marine Corps Dr, Dededo, GU 96929-5924 | 2017-03-20 |
| 1326447939 | Guam Healthcare Development Incorporated | Clinic/Center | 133 Route 3, Dededo, GU 96929-6911 | 2014-08-19 |
| 1487907234 | Guam Geriatrics Clinic | Clinic/Center | 633 Gov Carlos G Camacho Rd, Ste. 205, Tamuning, GU 96913-3194 | 2012-10-17 |
| Find all providers with the same taxonomy | ||||
| City | CHALAN PAGO |
| Zip Code | 96910 |
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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.