Healthcare Provider Details

I. General information

NPI: 1881997302
Provider Name (Legal Business Name): HIPPOCRATES MEDICAL EQUIPMENT AND SERVICES
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/07/2010
Last Update Date: 12/07/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

MARIANAS BUSINESS PLAZA BLDG, ROOM 402, NAURU LOOP ST
SAIPAN MP
96950-2213
US

IV. Provider business mailing address

P.O. BOX 502213 MARIANAS BUSINESS PLAZA BLDG, ROOM 402, NAURU LOOP ST
SAIPAN MP
96950-2213
US

V. Phone/Fax

Practice location:
  • Phone: 670-234-8005
  • Fax: 670-234-8028
Mailing address:
  • Phone: 670-234-8005
  • Fax: 670-234-8028

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code332BD1200X
TaxonomyDialysis Equipment & Supplies (DME)
License Number1759500021
License Number StateMP
# 2
Primary TaxonomyN
Taxonomy Code332BN1400X
TaxonomyNursing Facility Supplies (DME)
License Number1759500021
License Number StateMP
# 3
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number1759500021
License Number StateMP
# 4
Primary TaxonomyN
Taxonomy Code332BP3500X
TaxonomyParenteral & Enteral Nutrition Supplies (DME)
License Number1759500021
License Number StateMP
# 5
Primary TaxonomyN
Taxonomy Code332BC3200X
TaxonomyCustomized Equipment (DME)
License Number1759500021
License Number StateMP
# 6
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number1759500021
License Number StateMP

VIII. Authorized Official

Name: DR. JOHNNY YEE FONG
Title or Position: C.E.O.
Credential: M.D.
Phone: 670-234-8005