Organization
RAINBOW MEDICAL SUPPLY INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. THERESA ANN MCCRARY RN (CEO PRESIDENT)
(808) 982-3830
Entity
Organization
Contact information
Practice address
67-1185 MAMALAHOA HWY STE 33, KAMUELA, HI 96743-7304
(808) 885-7688
(808) 885-7150
Mailing address
16 186 KALARA ST, KEAAU, HI 96749
(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
01
—
00B92664
HMSA
HI
01
—
00C92662
HMSA
HI
05
—
0726803
—
HI
Enumeration date
07/20/2005
Last updated
08/22/2020
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