Active NPI
St. Francis Community Health Services
- General Practice Dentistry
- Hilo, HI
National Provider Identifier
1124157128
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- License
- 08661301
- Legal business name
- ST. FRANCIS COMMUNITY HEALTH SERVICES
- Practice address
- 140 Holomua St Ste B
Hilo, HI 96720-5132 - Phone
- (808) 935-3050
- Fax
- (808) 935-3794
- NPI assigned
- Mar 5, 2007
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ms. Susan Kaye Lundburg
- Title
- Program Director
- Phone
- (808) 987-8904
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 08661301 | HI | Primary |
Addresses
Primary practice location
140 Holomua St Ste B
Hilo, HI 96720-5132
Mailing address
140 Holomua St Ste B
Hilo, HI 96720-5132
Phone (808) 935-3050
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 08661301 | Medicaid | HI |
Other names 1
- Office for Social Ministry Mobile Care Health Project
National Provider Directory
National Provider Directory- Tax ID family
- Mobile Care Health Project
Other organizations with this tax ID 2
Organizations that report the same tax identification number in the National Provider Directory.
-
- Dental Clinic/Center
- Hilo, HI
- NPI 1073569521
-
- Community Based Hospice Care Agency
- Honolulu, HI
- NPI 1215948914
Locations
140 Holomua St
Ste B
Hilo, HI 96720
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1173052800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1214524800000",
"number": "1124157128",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "140 HOLOMUA ST STE B",
"city": "HILO",
"state": "HI",
"postal_code": "967205132",
"telephone_number": "808-935-3050",
"fax_number": "808-935-3794"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "140 HOLOMUA ST STE B",
"city": "HILO",
"state": "HI",
"postal_code": "967205132",
"telephone_number": "808-935-3050",
"fax_number": "808-935-3794"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "ST. FRANCIS COMMUNITY HEALTH SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2007-03-05",
"last_updated": "2008-06-27",
"status": "A",
"authorized_official_last_name": "LUNDBURG",
"authorized_official_first_name": "SUSAN",
"authorized_official_middle_name": "KAYE",
"authorized_official_title_or_position": "PROGRAM DIRECTOR",
"authorized_official_telephone_number": "808-987-8904",
"authorized_official_name_prefix": "Ms."
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": "HI",
"license": "08661301",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "08661301",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Office for Social Ministry Mobile Care Health Project",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Hilo, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 27, 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.