Healthcare Provider Details

I. General information

NPI: 1891099495
Provider Name (Legal Business Name): AMERICAN HYPERBARIC CENTERS, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/22/2010
Last Update Date: 12/22/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

851 FORT STREET MALL STE 100
HONOLULU HI
96813-4300
US

IV. Provider business mailing address

851 FORT STREET MALL STE 100
HONOLULU HI
96813-4300
US

V. Phone/Fax

Practice location:
  • Phone: 808-791-0744
  • Fax: 808-791-0716
Mailing address:
  • Phone: 808-791-0744
  • Fax: 808-791-0716

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QM2500X
TaxonomyMedical Specialty Clinic/Center
License Number10498119
License Number StateHI

VIII. Authorized Official

Name: MR. JIM THOMPSON
Title or Position: VICE PRESIDENT
Credential:
Phone: 907-565-4600