MEDICARE: AMERICAN SAMOA GOVERNMENT, DEPART OF SEARCH AND RESCUE

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3416L0300X	Land Ambulance
2	341600000X	Ambulance

General Provider Information

NPI Number	:	1902767627
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	AMERICAN SAMOA GOVERNMENT, DEPART OF SEARCH AND RESCUE

Provider Business Mailing Address
First Line	:	PO BOX ASG-DEPT OF SEARCH AND RESCUE
Second Line	:	5050 MOSOOI BLDG SUITE 202
City	:	PAGO PAGO
State	:	AS
Zip	:	96799
Country	:	US
Telephone Number	:	684-699-4462
Fax Number	:

Provider Business Practice Location Address
First Line	:	5050 MOSOOI BLDG SUITE 202
Second Line	:	5050 MOSOOI BLDG SUITE 202
City	:	PAGO PAGO
State	:	AS
Zip	:	96799
Country	:	US
Telephone Number	:	684-699-4462
Fax Number	:

Authorized Official
Title or Position	:	DEPUTY DIRECTOR
Name	:	AKENESE EPI NIKOLAO
Credential	:	EDD
Telephone Number	:	684-699-4462

Provider Enumeration Date	:	11/21/2025
Last Update Date	:	06/09/2026

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