Organization Name: | US NAVAL HOSPITAL GUAM |
NPI Number: | 1639127509 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARYANN S BULALA (LEAD FINANCIAL TECH) |
Mailing Address: | Farenholt Ave Bldg 1 Agana Heights |
State: | GU US |
Postal Code: | 96919 |
Phone Number: | 6713449725 |
Fax Number: | 6713449261 |
NPI Enumeration Date: | 05/04/2006 |
NPI Last Update Date: | 08/28/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 286500000X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Hospitals |
Taxonomy Classification: | Military Hospital |
Taxonomy Specialization: | |
Taxonomy Definition: | A health care facility operated by the Department of Defense. |