Provider Demographics
NPI:1265247787
Name:MARIANAS HEALTH SERVICES INC
Entity type:Organization
Organization Name:MARIANAS HEALTH SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MEDICAL & HEALTH SERVICES MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:EVELYN
Authorized Official - Middle Name:PACHECO
Authorized Official - Last Name:DE BELEN
Authorized Official - Suffix:
Authorized Official - Credentials:BPT
Authorized Official - Phone:670-233-4646
Mailing Address - Street 1:PO BOX 10003 PMB 1341
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-8903
Mailing Address - Country:US
Mailing Address - Phone:670-233-4647
Mailing Address - Fax:670-233-4648
Practice Address - Street 1:MARIANAS HEALTH BLDG STE 102 GHIYEGHI ST SAN JOSE
Practice Address - Street 2:
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-8903
Practice Address - Country:US
Practice Address - Phone:670-233-4647
Practice Address - Fax:670-233-4648
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MARIANAS HEALTH SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-02-11
Last Update Date:2025-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service