Provider Demographics
NPI:1962209395
Name:WESTCARE PACIFIC ISLANDS
Entity type:Organization
Organization Name:WESTCARE PACIFIC ISLANDS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:COO
Authorized Official - Prefix:
Authorized Official - First Name:AJA
Authorized Official - Middle Name:
Authorized Official - Last Name:RAMOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-472-0218
Mailing Address - Street 1:402 E MARINE CORPS DR STE 200
Mailing Address - Street 2:
Mailing Address - City:HAGATNA
Mailing Address - State:GU
Mailing Address - Zip Code:96910-5184
Mailing Address - Country:US
Mailing Address - Phone:671-472-0218
Mailing Address - Fax:
Practice Address - Street 1:665 S MARINE CORPS DR STE 102
Practice Address - Street 2:
Practice Address - City:TAMUNING
Practice Address - State:GU
Practice Address - Zip Code:96913-3572
Practice Address - Country:US
Practice Address - Phone:671-472-0218
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-02-25
Last Update Date:2025-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
No261QM1100XAmbulatory Health Care FacilitiesClinic/CenterMilitary/U.S. Coast Guard Outpatient