State of
Office of Health Care Assurance
Medicare Section
END STAGE RENAL DISEASE
(ESRD) PROGRAM
|
NUMBER |
FACILITY |
LOCATION |
|
1 |
FRESENIUS MEDICAL CARE ALOHA Mailing
Address: Ph:
(808) 531-1748 Fax: (808) 531-1501 Correspondence
Address: Alvin
Cecil Regional
Vice President Fresenius
Medical Care Alvin
Cecil Regional
Manager Provider
No. 122503 |
|
|
2 |
FRESENIUS MEDICAL CARE DIALYSIS
SERVICES OF KAPOLEI Ph:
(808) 693-8980 Fax: (808) 693-8968 Correspondence
Address: Alvin
Cecil Regional
Vice President Fresenius
Medical Care Avlin
Cecil Regional
Manager Provider
No. 122508 |
|
|
3 |
FRESENIUS MEDICAL CARE DIALYSIS SERVICES OF PEARLRIDGE Ph:
(808) 440-4800 Fax: (808) 440-4827 Correspondence
Address: Alvin
Cecil Regional
Vice President Fresenius
Medical Care Alvin
Cecil Regional
Manager Provider
No. 122509 |
|
|
4 |
FRESENIUS MEDICAL CARE Ph:
(808) 545-3933 Fax: (808) 545-2971 Correspondence
Address: Alvin
Cecil Regional
Vice President Fresenius
Medical Care Alvin
Cecil Regional
Manager Provider
No. 122501 |
|
|
5 |
FRESENIUS MEDICAL CARE KAPAHULU Ph:
(808) 732-7702 Fax: (808) 732-7782 Correspondence
Address: Alvin
Cecil Regional
Vice President Fresenius
Medical Care Alvin
Cecil Regional
Manager Provider
No. 122521 |
|
|
6 |
FRESENIUS MEDICAL CARE Mailing
Address: Ph:
(808) 565-9650 Fax: (808) 565-6357 Correspondence
Address: Alvin
Cecil Regional
Vice President Fresenius
Medical Care Alvin
Cecil Regional
Manager Provider
No. 122506 |
|
7 |
FRESENIUS MEDICAL CARE Mailing
Address: Ph:
(808) 621-5151 Fax: (808) 621-3884 Correspondence
Address: Alvin
Cecil Regional
Vice President Fresenius
Medical Care Alvin
Cecil Regional
Manager Provider
No. 122500 |
|
|
8 |
FRESENIUS MEDICAL CARE Mailing
Address: Ph:
(808) 235-0885 Fax: (808) 235-1955 Correspondence
Address: Alvin
Cecil Regional
Vice President Fresenius
Medical Care Alvin
Cecil Regional
Manager Provider
No. 122502 |
|
|
9 |
KAIMUKI DIALYSIS FACILITY Ph:
(808) 735-2585 Fax: (808) 734-2583 Cheryl
Solomon Director
of Operations Provider
No. 122520 |
|
|
10 |
Ph:
(808) 935-3422 Fax: (808) 934-7901 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122507 |
|
|
11 |
Ph:
(808) 669-6628 Fax: (808) 669-1272 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122515 |
|
12 |
Ph:
(808) 245-3770 Fax: (808) 245-2390 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122511 |
|
|
13 |
Ph:
(808) 322-2131 Fax: (808) 322-0605 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122513 |
|
|
14 |
Ph:
(808) 671-3042 Fax: (808) 677-7903 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122512 |
|
|
15 |
Ph:
(808) 553-8088 Fax: (808) 553-3210 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122517 |
|
|
16 |
Ph:
(808) 585-4612 Fax: (808) 538-7581 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122518 |
|
|
17 |
Ph:
(808) 696-0216 Fax: (808) 696-0345 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122514 |
|
18 |
Ph:
(808) 338-1100 Fax: (808) 338-1185 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 546-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122516 |
|
19 |
Ph:
(808) 930-2001 Fax: (808) 885-1506 Mailing
Address: Jane
Gibbons Executive
Vice President Provider
No. 122519 |
|
|
20 |
Ph:
(808) 244-9600 Fax: (808) 244-5712 Mailing
Address: Denise
Van Valkenburgh, V.P. Clinical Operations Ph.
(808) 547-6264 Fax: (808) 585-4601 Roberta
Lovely Program
Director Provider
No. 122510 |
|
END STAGE RENAL DISEASE
(ESRD) PROGRAM
PACIFIC AREA (
|
NUMBER |
FACILITY |
LOCATION |
|
1 |
AMERICAN DIALYSIS CENTER, INC Tamuning,
GU 96913 Ph:
(671) 646-3773 Fax: (671) 647-2026 Eric
Hayes Aministrator Provider
No.: 652502 |
|
|
2 |
Ph:
(670) 236-8246 Fax: (670) 234-8931 Acting
Deputy Secretary for Hospital Administration Provider
No. 662500 |
|
|
3 |
GUAM DIALYSIS CENTER, INC. TAMUNING Tamuning,
Ph:
(671) 475-3600 Fax: (671) 477-3547 Charlyn
Sangueza Administrator/CEO Provider
No. 652500 |
|
|
4 |
Oka,
Tamuning, Ph:
(671) 647-2444 Fax: (671) 649-0145 William
I. McMillan, MBA, CHE Acting
Administrator/CEO Provider
No. 652300 |
|
|
5 |
265
Chalan Santo Papa Juan Pablo Dos Hagata,
Ph:
(671) 475-3600 Fax: (671) 477-2759 Charlyn
Sangueza Administrator/CEO Provider
No. 652501 |
|
|
6 |
Fagaalu Mailing
Address: P.O.
Box LBJ Ph:
(684) 633-4590 Fax: (684) 633-1869 Taufetee
John Faumuina, LBJ CEO Chief
Executive Officer Provider
No. 642300 |
|
|
7 |
RENAL CENTERS OF Dededo,
GU 96929 Ph:
(671) 637-3068 Fax: (671) 637-3073 Charlyn
G. Haun Administrator Provider
No.: 652503 |
|
8 |
Chalan
Kiya Garapan,
MP 96950 Mailing
Address: Ph:
(670) 234-2901 Fax: (670) 234-2906 Vicente
S. Aldan President Provider
No. 66-2501 |
|
OHCA/MEDICARE August 13, 2008 lk