Provider Demographics
NPI:1417159658
Name:GUAM FIRE DEPARTMENT - GOVERNMENT OF GUAM
Entity Type:Organization
Organization Name:GUAM FIRE DEPARTMENT - GOVERNMENT OF GUAM
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FIRE CHIEF
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:QUIFUNAS
Authorized Official - Last Name:PEREDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:671-472-3311
Mailing Address - Street 1:PO BOX 2950
Mailing Address - Street 2:
Mailing Address - City:HAGATNA
Mailing Address - State:GU
Mailing Address - Zip Code:96932-2950
Mailing Address - Country:US
Mailing Address - Phone:671-472-3334
Mailing Address - Fax:671-472-3304
Practice Address - Street 1:GUAM FIRE DEPARTMENT , 238 AFC FLORES ST.
Practice Address - Street 2:SUITE 807 PACIFIC NEWS BUILDING
Practice Address - City:HAGATNA
Practice Address - State:GU
Practice Address - Zip Code:96932
Practice Address - Country:US
Practice Address - Phone:671-472-3334
Practice Address - Fax:671-472-3304
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-01
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251K00000XAgenciesPublic Health or Welfare