Provider Demographics
NPI:1841568086
Name:CWM TRUST, LLC.
Entity Type:Organization
Organization Name:CWM TRUST, LLC.
Other - Org Name:EUCON MEDICAL HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CLINIC MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:CARHILL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:670-233-3647
Mailing Address - Street 1:P.O. BOX 500087, CK
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-0087
Mailing Address - Country:US
Mailing Address - Phone:670-233-3647
Mailing Address - Fax:670-233-3647
Practice Address - Street 1:#6 GUALO RAI PLAZA, CHALAN PALE ARNOLD ROAD
Practice Address - Street 2:SUITE #6
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-0087
Practice Address - Country:US
Practice Address - Phone:670-233-3647
Practice Address - Fax:670-233-3647
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-02
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MP0024261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy