Organization
INDEPENDENT LIVING EQUIPMENT AND PACMED
Active
Other names
INDEPENDENT LIVING EQUIPMENT AND PACMED, PacMed
Organization subpart
No
Provider details
NPI number
Authorized official
MR. KEITH MATSUNAGA (PRESIDENT)
(808) 537-1671
Entity
Organization
Contact information
Practice address
80 SAND ISLAND ACCESS RD STE 238, HONOLULU, HI 96819-4912
(808) 537-1671
(808) 791-6990
Mailing address
80 SAND ISLAND ACCESS RD STE 238, HONOLULU, HI 96819-4912
(808) 537-1671
(808) 537-1393
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
10575079
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
250062
—
HI
01
—
A210094
HMSA PROVIDER ID
HI
Enumeration date
02/26/2007
Last updated
12/01/2018
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up