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NPI Code Detail

MEDICARE: LBJ TROPICAL MEDICAL CENTER

MEDICARE: LBJ TROPICAL MEDICAL CENTER
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
1282N00000XGeneral Acute Care Hospital2053-AAS

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1$$$$$$$$$OTHERASSOCIAL SECURITY

General Provider Information

NPI Number : 1497787113
Entity Type Code : Organization
Provider Name (Legal Business Name) : LBJ TROPICAL MEDICAL CENTER
Provider Business Mailing Address
First Line : PO BOX 2189
Second Line :
City : PAGO PAGO
State : AS
Zip : 96799-2189
Country : US
Telephone Number : 684-644-2642
Fax Number :
Provider Business Practice Location Address
First Line : FAGAALU, AMERICAN SAMOA
Second Line :
City : PAGO PAGO
State : AS
Zip : 96799
Country : US
Telephone Number : 684-633-1222
Fax Number :
Authorized Official
Title or Position : ER PHYSICIAN
Name : DR. ERICA MANU AOELUA
Credential : MBBS
Telephone Number : 684-644-2642
Provider Enumeration Date : 07/06/2006
Last Update Date : 08/22/2020

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Directions to “LBJ TROPICAL MEDICAL CENTER ” Practice Location

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