EVERGREEN HEALTH CENTER LLC
NPI 1356839575
Clinic/Center - Primary Care in Maite, GU
About Evergreen Health Center Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
EVERGREEN HEALTH CENTER LLC (NPI 1356839575) is a healthcare organization registered as a primary care in Maite, Guam and active in the NPI registry since April 2018. The organization holds a CLIA Waiver certificate valid through August 11, 2027 and lists Jayar Calilung, Clinic Manager, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 65D2170458
Evergreen Health Center · Agana, GUOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Evergreen Health Center LLC's NPI number?
The NPI number for Evergreen Health Center LLC is 1356839575. It was assigned to this organization in the NPPES registry on April 23, 2018.
Where is Evergreen Health Center LLC located?
Evergreen Health Center LLC is located at 520 Route 8, Maite, GU 96910. The listed phone number is (671) 922-0118.
What is Evergreen Health Center LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Primary Care, with taxonomy code 261QP2300X.
Does Evergreen Health Center LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 65D2170458) is associated with this NPI, valid through August 11, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
When was this NPI record last updated?
The NPPES record for Evergreen Health Center LLC was last updated on March 29, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.
