PRIMARY MULTISPECIALTY CLINIC
NPI 1104060839
Clinic/Center - Multi-Specialty in Tamuning, GU

Q: What is Primary Multispecialty Clinic's NPI number?

The NPI number for Primary Multispecialty Clinic is 1104060839. It was assigned to this organization in the NPPES registry on April 24, 2009.

Q: What is Primary Multispecialty Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since April 24, 2009

177 CHALAN PASAHERU STE C, TAMUNING, GU 96913(671) 647-6201(671) 647-0045 Get Directions Write a Review

NPPES record last updated: April 24, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Primary Multispecialty Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PRIMARY MULTISPECIALTY CLINIC (NPI 1104060839) is a healthcare organization registered as a multi-specialty in Tamuning, Guam and active in the NPI registry since April 2009. The organization lists Therese T. Chong, Patient Relations Coordinator, as its authorized official.

NPPES Registry Identity

NPI1104060839

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NamePRIMARY MULTISPECIALTY CLINIC

Location Address177 CHALAN PASAHERU STE CTamuning, GU 96913-4161

Mailing Address177 Chalan Pasaheru # A, Ste FTamuning, GU 96913-4161 · (671) 647-6201 · Fax (671) 647-0045

Phone(671) 647-6201

Fax(671) 647-0045

Organization SubpartNo

Authorized OfficialTherese T. ChongPatient Relations Coordinator · (671) 688-1066

Enumeration DateApril 24, 2009

✔ NPI 1104060839 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

License✔ Licensed in GU · LEO 196

177 CHALAN PASAHERU STE C, Tamuning, GU 96913

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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

FLORENCIO T. LIZAMA

Specialist

177 CHALAN PASAHERU STE C
TAMUNING, GU 96913

Guam (671) 647-6201

JAKE ENTERPRISES INC

Pharmacy (Clinic Pharmacy)

177 CHALAN PASAHERU STE C
TAMUNING, GU 96913

Guam (671) 646-6160

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Primary Multispecialty Clinic's NPI number?

The NPI number for Primary Multispecialty Clinic is 1104060839. It was assigned to this organization in the NPPES registry on April 24, 2009.

Where is Primary Multispecialty Clinic located?

Primary Multispecialty Clinic is located at 177 Chalan Pasaheru Ste C, Tamuning, GU 96913. The listed phone number is (671) 647-6201.

What is Primary Multispecialty Clinic's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

When was this NPI record last updated?

The NPPES record for Primary Multispecialty Clinic was last updated on April 24, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.