Healthcare Provider Details

I. General information

NPI: 1801253745
Provider Name (Legal Business Name): US MED URGENT CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/22/2016
Last Update Date: 09/21/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1860 ALA MOANA BLVD SUITE 101
HONOLULU HI
96815-1632
US

IV. Provider business mailing address

1245 KUALA ST SUITE 103
PEARL CITY HI
96782-3900
US

V. Phone/Fax

Practice location:
  • Phone: 808-921-2273
  • Fax: 808-921-2274
Mailing address:
  • Phone: 808-456-2273
  • Fax: 808-456-2274

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QU0200X
TaxonomyUrgent Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: DONNA SCHMIDT
Title or Position: CHIEF EXECUTIVE OFFICER
Credential:
Phone: 808-465-2273