Healthcare Provider Details

I. General information

NPI: 1265566731
Provider Name (Legal Business Name): MPC HANDITRANS SVC. LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/15/2007
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

743 GULICK AVE
HONOLULU HI
96819-3338
US

IV. Provider business mailing address

743 GULICK AVE
HONOLULU HI
96819-3338
US

V. Phone/Fax

Practice location:
  • Phone: 808-841-6585
  • Fax: 808-841-6825
Mailing address:
  • Phone: 808-841-6585
  • Fax: 808-841-6825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number StateHI

VIII. Authorized Official

Name: MS. MERL P. CABRADILLA
Title or Position: OWNER
Credential: DME
Phone: 808-841-6585