Organization
PACIFIC MEDICAL CENTER, INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SOLEDAD CAMACHO (ADMINISTRATOR)
(670) 233-8100
Entity
Organization
Contact information
Practice address
PMC BUILDING, MIDDLE ROAD, GUALO RAI, SAIPAN, MP 96950-1908
(670) 233-8100
(670) 233-8102
Mailing address
PO BOX 501908, SAIPAN, MP 96950-1908
(670) 233-8100
(670) 233-8102
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
Primary
621111
MP
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1861434920
MEDICARE NATIONAL PROVIDER IDENTIFIER (NPI)
MP
Enumeration date
06/12/2006
Last updated
07/15/2013
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