Organization Active NPI

St. Francis Community Health Services

  • General Practice Dentistry
  • Hilo, HI
National Provider Identifier
1124157128
Registry record updated Jun 27, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Practice DentistryTaxonomy code 1223G0001X
License
08661301 Issued in HI
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

Updated by the provider on Jun 27, 2008

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)CodeLicenseStatePrimary
General Practice DentistryGroup: 193400000X SINGLE SPECIALTY GROUP 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

IdentifierTypeStateIssuer
08661301MedicaidHI

Other names 1

  • Office for Social Ministry Mobile Care Health Project Other name

National Provider Directory

National Provider Directory
Tax ID family
Mobile Care Health Project3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

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.

Verify at the official NPI Registry.