Healthcare Provider Details

I. General information

NPI: 1184660045
Provider Name (Legal Business Name): HEALTH SERVICES & MANAGEMENT INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/21/2006
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

177C CHALAN PASAHERU
TAMUNING GU
96913-4127
US

IV. Provider business mailing address

177A CHALAN PASAHERU SUITE F
TAMUNING GU
96913-4127
US

V. Phone/Fax

Practice location:
  • Phone: 671-647-6201
  • Fax: 671-647-0045
Mailing address:
  • Phone: 671-649-4501
  • Fax: 671-649-4507

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number StateGU
# 2
Primary TaxonomyY
Taxonomy Code261Q00000X
TaxonomyClinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MARIETTA LEDESMA
Title or Position: CFO
Credential:
Phone: 671-649-4501