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NPI 1962628305 · live from the CMS NPI Registry

Emergency Medical Services System

Ambulance, Land Transport in Honolulu, HI. National Provider Identifier 1962628305, active.

NPI record

NPI1962628305 Type 2 · organization
StatusActive
Primary specialtyAmbulance, Land Transport 3416L0300X
Practice location3627 Kilauea Ave, Honolulu, HI 96816
Practice phone808-733-8329
Mailing addressPo Box 269110, Sacramento, CA 95826
EnumeratedApril 17, 2007
Last updatedNovember 14, 2012
Authorized officialLinda Rosen, Program Manager
Other namesHawai'I Dept Of Health-Rural

Taxonomies and licenses

TaxonomyCodeLicense
Ambulance, Air Transport3416A0800X—
Ambulance, Land Transport primary3416L0300X—

Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.