Healthcare Provider Details
I. General information
NPI: 1063324358
Provider Name (Legal Business Name): DEPARTMENT OF FIRE AND EMERGENCY MEDICAL SERVICES (DFEMS)
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 09/21/2026
Last Update Date: 09/24/2026
Certification Date: 09/24/2026
Deactivation Date:
Reactivation Date:
III. Provider practice location address
ASCENCION CT. CAPITOL HILL
SAIPAN MP
96950
US
IV. Provider business mailing address
PO BOX 7068
SAIPAN MP
96950-7068
US
V. Phone/Fax
- Phone: 670-664-0009
- Fax:
- Phone: 670-664-0009
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 3416L0300X |
| Taxonomy | Land Ambulance |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
JUAN
A.
PUA
Title or Position: DFEMS COMMISSIONER
Credential:
Phone: 670-664-0009