G Corp Dba Maui Home Infusion
Organization Active NPI Parenteral & Enteral Nutrition Supplies (DME) · Kahului, HI
NPI 1376529412 · NPPES record last updated Aug 22, 2020
Key facts
- NPI
- 1376529412
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Parenteral & Enteral Nutrition Supplies (DME) 332BP3500X
- License
- PHY598 (HI)
- Legal business name
- G CORP DBA MAUI HOME INFUSION
- Practice address
- 60 E Wakea Ave
Suite 116
Kahului, HI 96732-2466 - Phone
- (808) 871-4663
- Fax
- (808) 893-2001
- NPI assigned
- Dec 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Kevin Glick, RPH
- Title
- President
- Phone
- (808) 245-1864
National Provider Directory
Locations
60 E Wakea Ave
Unit 116
Kahului, HI 96732
Phone (808) 871-4663
4473 Pahee St
Ste I
Lihue, HI 96766
Phone (808) 245-3787
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Parenteral & Enteral Nutrition Supplies (DME) | 332BP3500X | PHY598 | HI | Yes |
Addresses
Primary practice location
60 E Wakea Ave
Suite 116
Kahului, HI 96732-2466
Mailing address
4473 Pahee St
Suite I
Lihue, HI 96766-2037
Phone (808) 871-4663
Other providers in Kahului, HI
- Frank R. Baum, MD, Inc.
- Lauren Trinity Franzwa
- James R Frede
- Ann Marie Fuggiasco
- Ryan Fusato
- Nicole Galasso
- Nicole Naulani Galindo
- Kayla Gallagher
- Peter Alfred Galpin
- Benjamin Tiongson Gamboa
All providers in Kahului, HI · Parenteral & Enteral Nutrition Supplies (DME) in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.