Provider Demographics
NPI:1043085681
Name:AMERICAN SAMOA MEDICAL CENTER
Entity type:Organization
Organization Name:AMERICAN SAMOA MEDICAL CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ACTING CFO
Authorized Official - Prefix:
Authorized Official - First Name:SABRINA
Authorized Official - Middle Name:FELILA
Authorized Official - Last Name:LEAUPEPE-VALAULU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:684-633-1222
Mailing Address - Street 1:PO BOX LBJ
Mailing Address - Street 2:
Mailing Address - City:PAGO PAGO
Mailing Address - State:AS
Mailing Address - Zip Code:96799-0010
Mailing Address - Country:US
Mailing Address - Phone:684-633-1222
Mailing Address - Fax:
Practice Address - Street 1:1TURNER DR
Practice Address - Street 2:
Practice Address - City:PAGO
Practice Address - State:AS
Practice Address - Zip Code:96799-0010
Practice Address - Country:US
Practice Address - Phone:684-633-1222
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-22
Last Update Date:2025-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty