1790827855 NPI number — MED-EQUIP CORPORATION

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 1790827855 NPI number — MED-EQUIP CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
MED-EQUIP CORPORATION
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:
HEARING CENTER OF HAWAII
Provider Other Organization Name Type Code:
3
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:
1790827855
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1040 S KING ST
Provider Second Line Business Mailing Address:
SUITE 307
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96814-2117
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-596-0922
Provider Business Mailing Address Fax Number:
808-593-2407

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1040 S KING ST
Provider Second Line Business Practice Location Address:
SUITE 307
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-2117
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-596-0922
Provider Business Practice Location Address Fax Number:
808-593-2407
Provider Enumeration Date:
02/13/2007

Additional Information

Authorized Official

Authorized Official Last Name:
TAMASHIRO
Authorized Official First Name:
HOWARD
Authorized Official Middle Name:
K.
Authorized Official Title or Position:
AUDIOLOGIST
Authorized Official Telephone Number:
808-596-0922

Provider Taxonomy Codes

  • Taxonomy code: 237600000X , with the licence number:  AUD-6 & HA-21 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: R4535-2 . This is a "HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 49684501 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".




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