Organization
RAINBOW MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MISS THERESA ANN MCCRARY RN (CEO PRESIDENT)
(808) 982-3830
Entity
Organization
Contact information
Practice address
224 HAILI ST, STE B-BACK, HILO, HI 96720
(808) 982-3830
(808) 982-3835
Mailing address
PO BOX 594, HILO, HI 96721-0594
(808) 982-3830
(808) 982-3835
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
RN-31163
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
071268-04
—
HI
01
—
953
ALOHA CARE
HI
01
—
B92664
HMSA
HI
Enumeration date
07/14/2005
Last updated
02/05/2019
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