Whalio Doctors

NPI 1356839575

Evergreen Health Center LLC

Organisation Primary Care Clinic/Center Maite, GU

Practice location

Address
520 Route 8, Maite, GU 96910
Phone
(671) 922-0118
Fax
(671) 477-2464

Authorised official

Name
Jayar Calilung
Title
Clinic Manager
Phone
(671) 488-8817

Registered specialties

Primary Care Clinic/Center Primary
Ambulatory Health Care Facilities Taxonomy 261QP2300X

Registry record

NPI
1356839575
Entity type
Organization
NPI issued
23 Apr 2018
Record last updated
29 Mar 2020

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.