RSA - GUAM, LLC (NPI# 1588849541) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1588849541 |
Entity Type | Organization |
Organization Name | RSA - GUAM, LLC |
Other Organization Name | U.S. RENAL CARE SINAJANA DIALYSIS |
Practice Address |
736 Route 4 Suite 101 Sinajana GU 96910-3368 |
Mailing Address |
5851 Legacy Cir Ste 900 Plano TX 75024-5982 |
Practice Telephone | 6714753600 |
Mailing Telephone | 2147362700 |
Mailing Fax Number | 5624958076 |
Enumeration Date | 2008-01-08 |
Last Update Date | 2019-06-11 |
Authorized Official Name | THOMAS L. WEINBERG (AUTHORIZED OFFICIAL) |
Authorized Official Telephone | 2147362700 |
Is Organization Subpart | Y |
Parent Organization Name | U.S. RENAL CARE, INC. |
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 | 191 | 05 |
Other Name | Type Code |
---|---|
U.S. Renal Care Sinajana Dialysis | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1295910255 | Rsa - Guam, LLC | Clinic/Center | 633 Gov Carlos G Camacho Rd, Suite 106, Tamuning, GU 96913-3194 | 2008-01-08 |
Street Address |
736 ROUTE 4 SUITE 101 |
City | SINAJANA |
State | GU |
Zip Code | 96910-3368 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1447254891 | Laura D Alvez | Internal Medicine | 736 Route 4, Ste. 103, Sinajana, GUAM 96910 | 2005-06-13 |
1376931329 | Advanced Eyecare, LLC | Ophthalmology | 736 Route 4, Ste 103, Sinajana, GU 96910-3368 | 2014-12-29 |
1144638123 | Wil-mar Corporation | Pharmacy | 736 Route 4, Sinajana, GU 96910-3368 | 2014-07-23 |
1356618359 | Krystal Ann King | Physician Assistant | 736 Route 4, Ste. 103, Sinajana, GUAM 96910 | 2011-11-19 |
1881834109 | Robert Caing Nerves | Internal Medicine | 736 Route 4, Suite 103, Sinajana, GU 96910-3368 | 2009-02-26 |
1669647772 | Mary Grace Aguilar Santos | Internal Medicine | 736 Route 4, Suite 103, Sinajana, GU 96910-3368 | 2008-04-29 |
1033391313 | Pacific Med & Nephrology | Clinic/Center | 736 Route 4, Suite 103, Sinajana, GU 96910 | 2007-11-29 |
1437251808 | Saied Safabakhsh | Internal Medicine | 736 Route 4, Suite 103, Sinajana, GU 96910-3368 | 2006-09-05 |
1124082227 | Tiffany J Troxel | Physician Assistant | 736 Route 4, Suite 103, Sinajana, GU 96910-3368 | 2006-04-14 |
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 | 261QE0700X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | End-Stage Renal Disease (ESRD) Treatment |
Definition to come... |
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 |
1053383059 | Guam Dialysis Center, Inc. | Clinic/Center | 633 Governor Carlos B. Camacho Rd, 106, Tamuning, GU 96913 | 2006-02-03 |
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 |
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 |
1447441670 | American Dialysis Center, Inc. | Clinic/Center | 1406 N Marine Corps Dr, Tamuning, GU 96913-4311 | 2007-08-05 |
Please comment or provide details below to improve the information on RSA - GUAM, LLC.
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.