# DEPARTMENT OF PUBLIC HEALTH AND SOCIAL SERVICES

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1558552851
- **Authorized official:** MR. PETERJOHN D CAMACHO MPH (DIRECTOR)
- **Authorized official phone:** (671) 735-7101

## Contact information

- **Practice address:** 162 APMAN DRIVE, INARAJAN, GU 96915
- **Practice address phone:** (671) 828-7501
- **Practice address fax:** (671) 828-7504
- **Mailing address:** 162 APMAN DRIVE, INARAJAN, GU 96915
- **Mailing address phone:** (671) 828-7501
- **Mailing address fax:** (671) 828-7504

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251K00000X | Public Health or Welfare Agency | M-933 | GU | Yes |

## Other

- **Enumeration date:** 08/05/2007
- **Last updated:** 08/05/2007