Healthcare Provider Details

I. General information

NPI: 1417159658
Provider Name (Legal Business Name): GUAM FIRE DEPARTMENT - GOVERNMENT OF GUAM
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/01/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

GUAM FIRE DEPARTMENT , 238 AFC FLORES ST. SUITE 807 PACIFIC NEWS BUILDING
HAGATNA GU
96932
US

IV. Provider business mailing address

PO BOX 2950
HAGATNA GU
96932-2950
US

V. Phone/Fax

Practice location:
  • Phone: 671-472-3334
  • Fax: 671-472-3304
Mailing address:
  • Phone: 671-472-3334
  • Fax: 671-472-3304

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State

VIII. Authorized Official

Name: MR. DAVID QUIFUNAS PEREDO
Title or Position: FIRE CHIEF
Credential:
Phone: 671-472-3311