Provider Demographics
NPI:1710198429
Name:MARIANAS HEALTH SERVICES, INC
Entity Type:Organization
Organization Name:MARIANAS HEALTH SERVICES, INC
Other - Org Name:MEDICAL SOLUTIONS OF MICRONESIA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:J
Authorized Official - Last Name:CRUZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:670-233-4646
Mailing Address - Street 1:PO BOX 10003 PMB 1341
Mailing Address - Street 2:SAIPAN PLAZA BUILDING SUITE#7 CHALAN PALE ARNOLD
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-8903
Mailing Address - Country:US
Mailing Address - Phone:670-233-4646
Mailing Address - Fax:670-233-4648
Practice Address - Street 1:CHALAN PALE ARNOLD GARAPAN
Practice Address - Street 2:SAIPAN PLAZA BUILDING STE.7
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-8903
Practice Address - Country:US
Practice Address - Phone:670-233-4646
Practice Address - Fax:670-233-4648
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-05-24
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
MP3R-015Medicaid
667001Medicare ID - Type UnspecifiedPROVIDER NO.