MEDICARE: AMERICAN MEDICAL CENTER, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261Q00000X	Clinic/Center	13-200500483-002	GU
2	261QM1300X	Multi-Specialty Clinic/Center	13-200500483	GU
3	261QU0200X	Urgent Care Clinic/Center	13-200500483-002	GU

General Provider Information

NPI Number	:	1457329849
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN MEDICAL CENTER, LLC

Provider Business Mailing Address
First Line	:	1244 NORTH MARINE CORPS DRIVE
Second Line	:
City	:	UPPER TUMON
State	:	GU
Zip	:	96913-4307
Country	:	US
Telephone Number	:	671-647-8262
Fax Number	:	671-647-8257

Provider Business Practice Location Address
First Line	:	1244 NORTH MARINE CORPS DRIVE
Second Line	:
City	:	UPPER TUMON
State	:	GU
Zip	:	96913-4307
Country	:	US
Telephone Number	:	671-647-8262
Fax Number	:	671-647-8257

Authorized Official
Title or Position	:	MEDICAL DIRECTOR
Name	:	HOA VAN NGUYEN
Credential	:	M.D.
Telephone Number	:	671-647-8262

Provider Enumeration Date	:	03/10/2006
Last Update Date	:	09/11/2025

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Directions to “AMERICAN MEDICAL CENTER, LLC ” Practice Location

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