Organization
MAUNA KEA MEDICAL SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. LINDA HUTSON R.N. (VICE PRESIDENT)
(808) 933-1999
Entity
Organization
Contact information
Practice address
355 KALANIANAOLE AVE STE A1, HILO, HI 96720-4738
(808) 933-1999
(808) 933-1799
Mailing address
355 KALANIANAOLE AVE STE A1, HILO, HI 96720-4738
(808) 933-1999
(808) 933-1799
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PMP256
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000202895
HMSA HILO
HI
05
—
24776301
—
HI
Enumeration date
06/30/2006
Last updated
11/29/2007
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