Organization
EVERGREEN HEALTH CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAYAR CALILUNG MHA (CLINIC MANAGER)
(671) 488-8817
Entity
Organization
Contact information
Practice address
520 ROUTE 8, MAITE, GU 96910
(671) 922-0118
(671) 477-2464
Mailing address
520 ROUTE 8, MAITE, GU 96910
(671) 922-0118
(671) 472-3981
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
—
—
Other
Enumeration date
04/23/2018
Last updated
03/29/2020
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