Provider Demographics
NPI:1508036161
Name:AUGUST HEALTHCARE GROUP, LLC
Entity type:Organization
Organization Name:AUGUST HEALTHCARE GROUP, LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JOSEPH
Authorized Official - Middle Name:C
Authorized Official - Last Name:SANTOS
Authorized Official - Suffix:
Authorized Official - Credentials:MPH
Authorized Official - Phone:670-483-7667
Mailing Address - Street 1:PO BOX 500173
Mailing Address - Street 2:
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-0173
Mailing Address - Country:US
Mailing Address - Phone:670-233-4582
Mailing Address - Fax:670-233-4584
Practice Address - Street 1:1 FIESTA BLDG
Practice Address - Street 2:BEACH ROAD GARAPAN
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950
Practice Address - Country:US
Practice Address - Phone:670-233-4582
Practice Address - Fax:670-233-4584
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-10
Last Update Date:2011-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3416L0300XTransportation ServicesAmbulanceLand Transport
No343800000XTransportation ServicesSecured Medical Transport (VAN)