Organization
GOVERNMENT OF GUAM DEPARTMENT OF ADMINISTRATION
Active
Other names
Guam Department of Public Health Northern Region Community Health Cent
Organization subpart
No
Provider details
NPI number
Authorized official
MARY JANE H CAPUZ (ACCOUNTANT II)
(671) 635-7545
Entity
Organization
Contact information
Practice address
520 W SANTA MONICA AVE, DEDEDO, GU 96929-5286
(671) 635-7492
(671) 635-7493
Mailing address
520 W SANTA MONICA AVE, DEDEDO, GU 96929-5286
(671) 735-7101
(671) 734-5910
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
GU
Other
Enumeration date
02/14/2006
Last updated
06/14/2022
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