Healthcare Provider Details

I. General information

NPI: 1932159175
Provider Name (Legal Business Name): AIRMED HAWAII
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/10/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

90 NAKOLO PL SUITE 203
HONOLULU HI
96819-1860
US

IV. Provider business mailing address

1000 URBAN CENTER DR SUITE 470
BIRMINGHAM AL
35242-2532
US

V. Phone/Fax

Practice location:
  • Phone: 808-833-9339
  • Fax: 808-833-0808
Mailing address:
  • Phone: 205-443-4840
  • Fax: 205-443-4841

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3416A0800X
TaxonomyAir Ambulance
License Number05-010
License Number StateHI

VIII. Authorized Official

Name: MRS. DENISE M TREADWELL
Title or Position: EXECUTIVE VICE PRESIDENT
Credential: CRNP, MSN
Phone: 205-443-4840