Organization
LBJ TROPICAL MEDICAL CENTER
Active
Other names
AMERICAN SAMOA MEDICAL CENTER AUTHORITY
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ERICA MANU AOELUA MBBS (ER PHYSICIAN)
(684) 644-2642
Entity
Organization
Contact information
Practice address
FAGAALU, AMERICAN SAMOA, PAGO PAGO, AS 96799
(684) 633-1222
Mailing address
PO BOX 2189, PAGO PAGO, AS 96799-2189
(684) 644-2642
Taxonomy
Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
2053-A
AS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
$$$$$$$$$
SOCIAL SECURITY
AS
Enumeration date
07/06/2006
Last updated
08/22/2020
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