Healthcare Provider Details

I. General information

NPI: 1821099680
Provider Name (Legal Business Name): HAWAIIAN ISLANDS MEDICAL CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/02/2005
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

841 POHUKAINA ST #8
HONOLULU HI
96813-5332
US

IV. Provider business mailing address

841 POHUKAINA ST #8
HONOLULU HI
96813-5332
US

V. Phone/Fax

Practice location:
  • Phone: 808-597-8087
  • Fax: 808-597-8474
Mailing address:
  • Phone: 808-597-8087
  • Fax: 808-597-8474

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number
License Number State

VIII. Authorized Official

Name: MRS. LAURA M. STEELQUIST
Title or Position: PRESIDENT
Credential:
Phone: 808-597-8087