Provider Demographics
NPI:1215773270
Name:CARDINAL HEALTHCARE MANAGEMENT CORPORATION
Entity type:Organization
Organization Name:CARDINAL HEALTHCARE MANAGEMENT CORPORATION
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:GENERAL MANAGER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:ELAINE
Authorized Official - Middle Name:Q
Authorized Official - Last Name:TERLAJE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:670-233-0242
Mailing Address - Street 1:PO BOX 7492
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-7492
Mailing Address - Country:US
Mailing Address - Phone:670-285-8775
Mailing Address - Fax:
Practice Address - Street 1:3290 BEACH ROAD PLAZA
Practice Address - Street 2:SUITE 04
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-285-8775
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-08
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health