1891018289 NPI number — EKAHI MALAMA 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 1891018289 NPI number — EKAHI MALAMA CORPORATION

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
EKAHI MALAMA 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:
AIR EVAC
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:
1891018289
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
03/12/2010
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
155 KAPALULU PL
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96819-1826
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
928-368-6799
Provider Business Mailing Address Fax Number:
928-368-8776

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
155 KAPALULU PL
Provider Second Line Business Practice Location Address:
SUITE 201
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96819-1826
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
928-368-6799
Provider Business Practice Location Address Fax Number:
928-368-8776
Provider Enumeration Date:
03/12/2010

Additional Information

Authorized Official

Authorized Official Last Name:
LONGENBAUGH
Authorized Official First Name:
ROBYNN
Authorized Official Middle Name:
Authorized Official Title or Position:
AR MANAGER
Authorized Official Telephone Number:
928-368-6799

Provider Taxonomy Codes

  • Taxonomy code: 3416A0800X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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