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Independent Living Equipment and Pacmed

Organization Active NPI Durable Medical Equipment & Medical Supplies · Honolulu, HI

NPI 1093841835 · NPPES record last updated Dec 1, 2018

Key facts

NPI
1093841835
Entity type
Organization (NPI type 2)
Primary specialty
Durable Medical Equipment & Medical Supplies 332B00000X
License
10575079 (HI)
Legal business name
INDEPENDENT LIVING EQUIPMENT AND PACMED
Practice address
80 Sand Island Access Rd Ste 238
Honolulu, HI 96819-4912
Phone
(808) 537-1671
Fax
(808) 791-6990
NPI assigned
Feb 26, 2007
Organization subpart
No

Authorized official

Name
Mr. Keith Matsunaga
Title
President
Phone
(808) 537-1671

Corporate family (same tax ID) 1

Organizations that report the same tax identification number in the National Provider Directory.

National Provider Directory

Tax ID family
Independent Living Equipment and Pacmed (2 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X 10575079 HI Yes

Addresses

Primary practice location

80 Sand Island Access Rd Ste 238
Honolulu, HI 96819-4912

Mailing address

80 Sand Island Access Rd Ste 238
Honolulu, HI 96819-4912
Phone (808) 537-1671

Other identifiers

IdentifierTypeStateIssuer
250062MedicaidHI
A210094OtherHIHMSA PROVIDER ID

Other names

  • INDEPENDENT LIVING EQUIPMENT AND PACMED Doing business as
  • PacMed Doing business as

Other providers in Honolulu, HI

All providers in Honolulu, HI · Durable Medical Equipment & Medical Supplies in Hawaii

Sources for this page

Verify at the official NPI Registry.