Provider Demographics
NPI:1982943916
Name:COMMONWEALTH HEALTHCARE CORPORATION
Entity Type:Organization
Organization Name:COMMONWEALTH HEALTHCARE CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ESTHER
Authorized Official - Middle Name:LIZAMA
Authorized Official - Last Name:MUNA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:670-236-8201
Mailing Address - Street 1:1 LOWER NAVY HILL ROAD
Mailing Address - Street 2:PO BOX 500409CK
Mailing Address - City:SAIPAN
Mailing Address - State:MP
Mailing Address - Zip Code:96950-0409
Mailing Address - Country:US
Mailing Address - Phone:670-236-8201
Mailing Address - Fax:670-236-8756
Practice Address - Street 1:1 LOWER NAVY HILL ROAD
Practice Address - Street 2:500409CK
Practice Address - City:SAIPAN
Practice Address - State:MP
Practice Address - Zip Code:96950-0409
Practice Address - Country:US
Practice Address - Phone:670-236-8201
Practice Address - Fax:670-236-8756
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-02-12
Last Update Date:2015-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
660001282N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes282N00000XHospitalsGeneral Acute Care Hospital
Provider Identifiers
StateIdentifier IDID TypeIssuer
MP660001Medicare Oscar/Certification