Healthcare Provider Details

I. General information

NPI: 1326494766
Provider Name (Legal Business Name): NORTHERN MARIANA ISLANDS GOVERNMENT
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/04/2016
Last Update Date: 08/18/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

STATION 1 TEKKEN DRIVE CIVIC CENTER SUSUPE
SAIPAN MP
96950
US

IV. Provider business mailing address

PO BOX 7068
SAIPAN MP
96950-7068
US

V. Phone/Fax

Practice location:
  • Phone: 670-664-9136
  • Fax: 670-664-9015
Mailing address:
  • Phone: 670-664-9136
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416L0300X
TaxonomyLand Ambulance
License Number
License Number State

VIII. Authorized Official

Name: CLAUDIO K NORITA
Title or Position: COMMISSIONER
Credential:
Phone: 670-664-9136