Organization
BIG ISLAND MEDICAL, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DENISE R KORCZYK (PRESIDENT)
(808) 323-3313
Entity
Organization
Contact information
Practice address
81-6645 MAMALAHOA HWY, KEALAKEKUA, HI 96750-8190
(808) 323-3313
(808) 322-9281
Mailing address
81-6645 MAMALAHOA HWY, KEALAKEKUA, HI 96750-8190
(808) 323-3313
(808) 322-9281
Taxonomy
Speciality
Code
Description
License number
State
332BX2000X
Oxygen Equipment & Supplies (DME)
Primary
PMP431
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000256594
HMSA
HI
05
—
571762-01
—
HI
Enumeration date
04/20/2006
Last updated
07/13/2015
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