Healthcare Provider Details

I. General information

NPI: 1902767627
Provider Name (Legal Business Name): AMERICAN SAMOA GOVERNMENT, DEPART OF SEARCH AND RESCUE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/21/2025
Last Update Date: 11/21/2025
Certification Date: 11/07/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5050 MOSOOI BLDG SUITE 202 5050 MOSOOI BLDG SUITE 202
PAGO PAGO AS
96799
US

IV. Provider business mailing address

PO BOX ASG-DEPT OF SEARCH AND RESCUE 5050 MOSOOI BLDG SUITE 202
PAGO PAGO AS
96799
US

V. Phone/Fax

Practice location:
  • Phone: 684-699-4462
  • Fax:
Mailing address:
  • Phone: 684-699-4462
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code341600000X
TaxonomyAmbulance
License Number
License Number State

VIII. Authorized Official

Name: AKENESE EPI NIKOLAO
Title or Position: DEPUTY DIRECTOR
Credential: EDD
Phone: 684-699-4462