Healthcare Provider Details

I. General information

NPI: 1316014756
Provider Name (Legal Business Name): PACIFIC ISLAND MEDICAL, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/29/2006
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

156 HAMAKUA DR STE.B
KAILUA HI
96734-2834
US

IV. Provider business mailing address

156 HAMAKUA DR STE B
KAILUA HI
96734-2834
US

V. Phone/Fax

Practice location:
  • Phone: 808-261-8885
  • Fax:
Mailing address:
  • Phone: 808-261-8885
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code332B00000X
TaxonomyDurable Medical Equipment & Medical Supplies
License Number10510520
License Number StateHI
# 2
Primary TaxonomyN
Taxonomy Code332BX2000X
TaxonomyOxygen Equipment & Supplies (DME)
License Number10510520
License Number StateHI

VIII. Authorized Official

Name: MR. THOMAS MICHAEL SCHUETTER
Title or Position: VICE-PRESIDENT
Credential:
Phone: 808-261-8885