Provider Demographics
NPI:1336474394
Name:SMART ENERGY DESIGN, INC.
Entity Type:Organization
Organization Name:SMART ENERGY DESIGN, INC.
Other - Org Name:SMART ENERGY DESIGN, INC. DBA GUAM MEDICAL TRANSPORT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:CLIFFORD
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:SHOEMAKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-688-3455
Mailing Address - Street 1:PO BOX DB
Mailing Address - Street 2:
Mailing Address - City:AGATNA
Mailing Address - State:GU
Mailing Address - Zip Code:96932
Mailing Address - Country:US
Mailing Address - Phone:671-688-7511
Mailing Address - Fax:
Practice Address - Street 1:301 FLORA PAGO GARDENS
Practice Address - Street 2:
Practice Address - City:CHALAN PAGO
Practice Address - State:GU
Practice Address - Zip Code:96932
Practice Address - Country:US
Practice Address - Phone:671-688-3455
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-10-08
Last Update Date:2009-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport