Government of Guam Department of Administration

Organization Federally Qualified Health Center (FQHC) · NPI 1972577104

Government of Guam Department of Administration is a Federally Qualified Health Center (FQHC) in Dededo, Guam. Licensed in Guam. Registered with an NPI since 2006.

Licensed in: GU
In the registry since: 2006

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Practice location Address may be wrong

The ZIP code does not match the city and state on this record. Call before visiting.

520 W Santa Monica Ave
Dededo, GU 96929-5286
Phone: (671) 635-7492
Fax: (671) 635-7493

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Specialties & licences

Federally Qualified Health Center (FQHC) (primary)	Taxonomy 261QF0400X (GU)

Record details

NPI number	1972577104
Entity type	Organization (Type 2)
Organization subpart	No
Authorized official	Mary Jane Capuz — Accountant Ii · (671) 635-7545
Other names	Guam Department Of Public Health Northern Region Community Health Cent; Guam Department Of Public Health Northern Region Community Health Cent
NPI enumerated	February 14, 2006
Last updated in NPPES	June 14, 2022
Certification date	June 9, 2022
Mailing address	520 W Santa Monica Ave, Dededo, GU 96929-5286