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Organization

HILO MEDICAL CENTER

Active
Organization subpart
No

Provider details

NPI number
Authorized official
RONALD SCHURRA (CHIEF EXECUTIVE OFFICER)
(808) 974-4729
Entity
Organization

Contact information

Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2020
(808) 974-7720
(808) 974-4718
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720-2020
(808) 974-7720
(808) 974-4718

Taxonomy

Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OHCA# HHA-2
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
00761101
HI
01
127002
ALOHACARE ADVANTAGE
HI
01
191909
HMA INC
HI
01
3032656
CAREMARK
HI
01
48064
KAISER PERMANENTE
HI
05
53328301
HI
05
53345701
HI
01
6220100
AETNA US HEALTHCARE
HI
01
C0005037
HMSA/HMSAQUEST ALL
HI
01
C5037
ALOHACARE
HI
Enumeration date
10/31/2006
Last updated
04/20/2008
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