Organization
BIG ISLAND FAMILY MEDICINE INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GINA SALCEDO MD (OWNER)
(808) 387-7970
Entity
Organization
Contact information
Practice address
670 PONAHAWAI ST STE 207, HILO, HI 96720-7830
(808) 365-5988
(808) 365-5989
Mailing address
670 PONAHAWAI ST STE 207, HILO, HI 96720-7830
(808) 365-5988
(808) 365-5989
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
13746
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00G0318159
HMSA (BSBS OF HAWAII)
—
Enumeration date
08/03/2018
Last updated
08/03/2018
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