OrganizationActive
Guam Dialysis Center, Inc.
NPI 1053383059 · End-Stage Renal Disease (ESRD) Treatment Clinic/Center · Tamuning, GU
Provider details
- NPI number
- 1053383059
- Entity type
- Organization
- Primary specialty
- End-Stage Renal Disease (ESRD) Treatment Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jerry Green, Secretary(562) 495-8075
Specialties & taxonomies
Ambulatory Health Care Facilities
Practice location
633 Governor Carlos B. Camacho Rd
106
Tamuning, GU 96913
Phone: (671) 646-3517
Fax: (671) 646-3531
Mailing address
1 World Trade Ctr
Long Beach, CA 90831-0002
Registry dates
- Enumerated
- 2006-02-03
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.