MEDICARE: WESTCARE PACIFIC ISLANDS

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	261QM1100X	Military/U.S. Coast Guard Outpatient Clinic/Center
2	251S00000X	Community/Behavioral Health Agency

General Provider Information

NPI Number	:	1962209395
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WESTCARE PACIFIC ISLANDS

Provider Business Mailing Address
First Line	:	402 E MARINE CORPS DR STE 200
Second Line	:
City	:	HAGATNA
State	:	GU
Zip	:	96910-5184
Country	:	US
Telephone Number	:	671-472-0218
Fax Number	:

Provider Business Practice Location Address
First Line	:	665 S MARINE CORPS DR STE 102
Second Line	:
City	:	TAMUNING
State	:	GU
Zip	:	96913-3572
Country	:	US
Telephone Number	:	671-472-0218
Fax Number	:

Authorized Official
Title or Position	:	COO
Name	:	AJA RAMOS
Credential	:
Telephone Number	:	671-472-0218

Provider Enumeration Date	:	02/25/2025
Last Update Date	:	02/25/2025

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Directions to “WESTCARE PACIFIC ISLANDS ” Practice Location

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