1245926286 NPI number — DEPARTMENT OF SEARCH AND RESCUE (SAR)

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1245926286 NPI number — DEPARTMENT OF SEARCH AND RESCUE (SAR)

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
DEPARTMENT OF SEARCH AND RESCUE (SAR)
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1245926286
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
04/13/2023
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 5050
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
PAGO PAGO
Provider Business Mailing Address State Name:
AS
Provider Business Mailing Address Postal Code:
96799
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
684-699-4462
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
5050 TAFUNA ROAD
Provider Second Line Business Practice Location Address:
EMS TAFUNA OFFICE ROAD
Provider Business Practice Location Address City Name:
PAGO PAGO
Provider Business Practice Location Address State Name:
AS
Provider Business Practice Location Address Postal Code:
96799
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
684-699-7002
Provider Business Practice Location Address Fax Number:
Provider Enumeration Date:
04/13/2023

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
GALOIA
Authorized Official First Name:
FAAMASINO
Authorized Official Middle Name:
UPUESE
Authorized Official Title or Position:
DIRECTOR
Authorized Official Telephone Number:
684-699-4462

Provider Taxonomy Codes

  • Taxonomy code: 207PE0004X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)