1134237829 NPI number — UNIV HAWAII HYPERBARIC TXT CTR

Table of content: (NPI 1134237829)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1134237829 NPI number — UNIV HAWAII HYPERBARIC TXT CTR

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
UNIV HAWAII HYPERBARIC TXT CTR
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:
UNIV HAWAII JOHN A BURNS SCHOOL OF MEDICINE HYPERBARIC TXT CTR
Provider Other Organization Name Type Code:
5
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:
1134237829
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/03/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
347 N KUAKINI STREET
Provider Second Line Business Mailing Address:
UNIV HAWAII HYPERBARIC TREATMENT CENTER
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96817
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-587-3425
Provider Business Mailing Address Fax Number:
808-587-3430

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
347 N KUAKINI STREET
Provider Second Line Business Practice Location Address:
UNIV HAWAII HYPERBARIC TREATMENT CENTER
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96817
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-587-3425
Provider Business Practice Location Address Fax Number:
808-587-3430
Provider Enumeration Date:
08/25/2006

Additional Information

Authorized Official

Authorized Official Last Name:
FARM
Authorized Official First Name:
FRANK
Authorized Official Middle Name:
P
Authorized Official Title or Position:
DIRECTOR HYPERBARIC TXT CTR
Authorized Official Telephone Number:
808-587-3425

Provider Taxonomy Codes

  • Taxonomy code: 207PE0005X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: A0013241 . This is a "HMSA A BCBS LICENSEE" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 52856501 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".




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