MEDICARE: HAWAII FAMILY MEDICAL CENTERS

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
1	207Q00000X	Family Medicine Physician		HI
2	207R00000X	Internal Medicine Physician		HI

General Provider Information

NPI Number	:	1386711638
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HAWAII FAMILY MEDICAL CENTERS

Provider Business Mailing Address
First Line	:	818 KEEAUMOKU ST
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96814-2393
Country	:	US
Telephone Number	:	808-537-5512
Fax Number	:	808-533-1482

Provider Business Practice Location Address
First Line	:	3-3295 KUHIO HWY
Second Line	:
City	:	LIHUE
State	:	HI
Zip	:	96766-1040
Country	:	US
Telephone Number	:	808-245-8874
Fax Number	:	808-246-9080

Authorized Official
Title or Position	:	PRESIDENT
Name	:	MR. PAUL K. SCHNUR
Credential	:
Telephone Number	:	808-537-5512

Provider Enumeration Date	:	11/30/2006
Last Update Date	:	01/06/2016

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