Organization
HILO BENIOFF 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) 974-6700
(808) 974-6723
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720-2020
(808) 974-6700
(808) 974-6723
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
OHCA# 44-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
251745
ALOHACARE
HI
05
—
251745
—
HI
01
—
A005031
HMSAQUEST SNF WL
HI
01
—
D005035
HMSAQUEST ICF
HI
01
—
E005032
HMSAQUEST SNF
HI
01
—
N005032
HMSAQUEST ANC
HI
01
—
P005038
HMSAQUEST ICF WL
HI
01
—
T005037
HMSAQUEST ICF WL
HI
01
—
U005035
HMSAQUEST ICF ANC
HI
Enumeration date
11/16/2006
Last updated
04/24/2025
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