Healthcare Provider Details

I. General information

NPI: 1346064474
Provider Name (Legal Business Name): MVP TAXI/TOURS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2024
Last Update Date: 11/14/2024
Certification Date: 11/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

96-1120 PAAUAU PLACE
PAHALA HI
96777
US

IV. Provider business mailing address

PO BOX 910
PAHALA HI
96777-0910
US

V. Phone/Fax

Practice location:
  • Phone: 808-557-2838
  • Fax:
Mailing address:
  • Phone: 808-557-2838
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: VALERIE PAKELE
Title or Position: MANAGER
Credential:
Phone: 808-557-2838