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NPI Code Detail

MEDICARE: HILO MEDICAL CENTER ANESTHESIA

MEDICARE: HILO MEDICAL CENTER ANESTHESIA
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1367500000XCertified Registered Nurse Anesthetist

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1346277621
Entity Type Code : Organization
Provider Name (Legal Business Name) : HILO MEDICAL CENTER ANESTHESIA
Provider Business Mailing Address
First Line : 233 W 1ST ST
Second Line :
City : WACONIA
State : MN
Zip : 55387-1302
Country : US
Telephone Number : 952-442-9770
Fax Number :
Provider Business Practice Location Address
First Line : 1190 WAIANUENUE AVE
Second Line :
City : HILO
State : HI
Zip : 96720-2020
Country : US
Telephone Number : 808-974-6700
Fax Number :
Authorized Official
Title or Position : BUSINESS OFFICE MGR
Name : RODNEY SAKO
Credential :
Telephone Number : 808-974-6700
Provider Enumeration Date : 06/26/2006
Last Update Date : 07/03/2008

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Directions to “HILO MEDICAL CENTER ANESTHESIA ” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

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