THE SALVATION ARMY (NPI# 1275895005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1275895005 |
| Entity Type | Organization |
| Organization Name | THE SALVATION ARMY |
| Practice Address |
155004 Corsair Avenue Tiyan GU 96910-5004 |
| Mailing Address |
Po Box 23038 Barrigada GU 96921-3038 |
| Practice Telephone | 6714777671 |
| Practice Fax Number | 6714774649 |
| Mailing Telephone | 6714777671 |
| Mailing Fax Number | 6714774649 |
| Enumeration Date | 2012-06-07 |
| Last Update Date | 2012-06-07 |
| Authorized Official Name | MS. LOURDES B HONGYEE (PROGRAM COORDINATOR) |
| Authorized Official Telephone | 6714779801 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 324500000X | Substance Abuse Rehabilitation Facility | GU | Residential Treatment Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992342513 | The Salvation Army | Clinic/Center | 2080 Woodlynn Ave, Maplewood, MN 55109-1418 | 2019-12-02 |
| 1821659624 | The Salvation Army | Counselor | The Salvation Army Ray & Joan Kroc Center, 1315 Lime Kiln Road, Green Bay, WI 54311 | 2019-06-24 |
| 1700446655 | The Salvation Army | Case Management | 4050 Conshohocken Ave, Philadelphia, PA 19131-2826 | 2019-06-13 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1437500063 | The Salvation Army | Substance Abuse Rehabilitation Facility | 2400 Edison Ave, Fort Myers, FL 33901-5106 | 2016-06-24 |
| 1821445339 | The Salvation Army | Substance Abuse Rehabilitation Facility | 3107 S Grand Ave, Los Angeles, CA 90007-3816 | 2016-05-16 |
| 1922437581 | The Salvation Army | Community/Behavioral Health | 696 Jackson Ave, Memphis, TN 38105-2006 | 2013-11-04 |
| 1659706166 | The Salvation Army | Voluntary or Charitable | 647 Main Street, Po Box 968, Johnstown, PA 15907-0968 | 2013-09-04 |
| 1871885186 | The Salvation Army | Community/Behavioral Health | 31 W Owens Ave, North Las Vegas, NV 89030-6865 | 2011-05-04 |
| 1831497239 | The Salvation Army | Social Worker | 35 W Owens Ave, North Las Vegas, NV 89030-6865 | 2011-03-09 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | THE SALVATION ARMY | 1424 Northeast Expy Ne, Brookhaven, Georgia 30329-2018 |
| New York State Corporations | THE SALVATION ARMY | 440 West Nyack Road, P.o. Box C-635, West Nyack, New York 10994 |
| Colorado Business Entities | THE SALVATION ARMY | Attn: Legal Dept, 30840 Hawthorne Blvd., Rancho Palos Verdes, CA 90275 |
| Washington State Corporations | THE SALVATION ARMY | 30840 Hawthorne Blvd, Legal Department, Rch Palos Vrd, CA 90275-5301 |
| Oregon Corporations, Companies and Business Names | THE SALVATION ARMY | 30840 Hawthorne Blvd, Rancho Palos Verdes, CA 90275 |
| Iowa Business Entities | THE SALVATION ARMY | 5550 Prairie Stone Parkway, Hoffman Estates, IL 60192 |
| Indiana Business Entities | THE SALVATION ARMY | 10 W. Algonquin Road, Des Plaines, IL 60016 |
| Oklahoma Business Registrations | THE SALVATION ARMY | P O Box 12600, Oklahoma City, OK 73157 |
| Washington State Corporations | THE SALVATION ARMY - A CALIFORNIA CORPORATION | Conversion Po Box 130, Grandview, WA 98930 |
| Colorado Business Entities | THE SALVATION ARMY BROOMFIELD RESIDENCES, INC. | 30840 Hawthorne Blvd., Attn: Legal Dept, Rancho Palos Verdes, CA 90275 |
| Street Address |
155004 CORSAIR AVENUE |
| City | TIYAN |
| State | GU |
| Zip Code | 96910-5004 |
| 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 | 324500000X |
| Grouping | Residential Treatment Facilities |
| Classification | Substance Abuse Rehabilitation Facility |
| A facility or distinct part of a facility that provides a 24 hr therapeutically planned living and rehabilitative intervention environment for the treatment of individuals with disorders in the abuse of drugs, alcohol, and other substances. |
| Notes: [7/1/2003: modified title, modified definition] |
Please comment or provide details below to improve the information on THE SALVATION ARMY.
| 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.