Organization
HILO MEDICAL CENTER HOME HEALTH EPSDT
Active
Parent organization
HILO MEDICAL CENTER
Organization subpart
Yes
Provider details
NPI number
Legal business name
HILO MEDICAL CENTER
Authorized official
RONALD SCHURRA (CEO)
(808) 974-4729
Entity
Organization
Contact information
Practice address
1190 WAIANUENUE AVE, HILO, HI 96720-2020
(808) 974-7720
(808) 974-4718
Mailing address
1190 WAIANUENUE AVE, HILO, HI 96720-2020
(808) 974-7720
(808) 974-4718
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
OHCA# HHA-2
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
53345701
—
HI
Enumeration date
09/03/2008
Last updated
09/03/2008
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