Organization
PREMIUM MEDICAL EQUIPMENT & SUPPLIES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JULIE ANNA MCNAB (BILLING AGENT)
(251) 625-0680
Entity
Organization
Contact information
Practice address
1151 MAPUNAPUNA ST, UNIT D9, HONOLULU, HI 96819-4428
(808) 836-9559
Mailing address
1151 MAPUNAPUNA ST, HONOLULU, HI 96819-4428
(808) 836-9559
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0246223
HAWAII MEDICAL SERVICES
HI
05
—
55102901
—
HI
Enumeration date
04/03/2007
Last updated
11/26/2007
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