Hilo Medical Center

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

OHCA# HHA-2 Issued in HI

Legal business name

HILO MEDICAL CENTER

Practice address

1190 Waianuenue Ave
Hilo, HI 96720-2020

Phone

(808) 974-7720

Fax

(808) 974-4718

NPI assigned

Oct 31, 2006

Last updated

Apr 20, 2008By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Ronald Schurra

Title

Chief Executive Officer

Phone

(808) 974-4729

Specialties & licenses 1

Addresses

Other identifiers 11

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1083790190",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "808-974-7720",
            "fax_number": "808-974-4718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1190 WAIANUENUE AVE",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967202020",
            "telephone_number": "808-974-7720",
            "fax_number": "808-974-4718"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HILO MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-31",
        "last_updated": "2008-04-20",
        "status": "A",
        "authorized_official_last_name": "SCHURRA",
        "authorized_official_first_name": "RONALD",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-974-4729"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "HI",
            "license": "OHCA# HHA-2",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA US HEALTHCARE",
            "identifier": "6220100",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CAREMARK",
            "identifier": "3032656",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMANENTE",
            "identifier": "48064",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53328301",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/HMSAQUEST ALL",
            "identifier": "C0005037",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMA INC",
            "identifier": "191909",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53345701",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE/TRIWEST",
            "identifier": "127002",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE ADVANTAGE",
            "identifier": "127002",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE",
            "identifier": "C5037",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00761101",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Hilo Family Health Clinic, Inc.
• Hilo Gas Inc
• Hilo Hearing Aid Center, Inc
• Hilo Massage Clinic and Day Spa LLC (Spa Vive)
• Hilo Massage Clinic and Day Spa, LLC (Hilo Massage Clinic)
• Hilo Medical Center
• Hilo Medical Center Anesthesia
• Hilo Medical Center Home Health Epsdt
• Hilo Medical Investors LTD (Life Care Center of Hilo)
• Hilo Natural Health Clinic, LLC

• Home Health Agency in Hilo, HI
• Providers in Hilo, HI by specialty
• Home Health Agency in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.