NPIMap

Organization Active NPI

Uh-Hilo Student Medical Services

  • Health Service Clinic/Center
  • Hilo, HI
National Provider Identifier
1386929933
Registry record updated Oct 14, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Health Service Clinic/CenterTaxonomy code 261QH0100X
License
APRN-RX Issued in HI
Legal business name
UH-HILO STUDENT MEDICAL SERVICES
Practice address
200 W Kawili St
Campus Center RM 212
Hilo, HI 96720-4075
Phone
(808) 974-7636
Fax
(808) 933-0868
NPI assigned
Oct 14, 2011
Organization subpart
Yes
Parent organization
UNIVERSITY OF HAWAII @ HILOAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 14, 2011

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

Authorized official

Name
Mrs. Heather Hirata, APRN-RX
Title
Director of Medical Services
Phone
(808) 974-7636

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Health Service Clinic/Center 261QH0100X APRN-RX HI Primary

Addresses

Primary practice location

200 W Kawili St
Campus Center RM 212
Hilo, HI 96720-4075

Mailing address

200 W Kawili St
Campus Center RM 212
Hilo, HI 96720-4075
Phone (808) 974-7636

Other identifiers 2

IdentifierTypeStateIssuer
1801982749OtherHINPI
1316180714OtherHINPI

National Provider Directory

National Provider Directory
Tax ID family
University of Hawaii7 organizations share this tax ID, including this one
Part of
University of Hawaii

Other organizations with this tax ID 6

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

Locations

200 W Kawili St
Rm 212
Hilo, HI 96720
Phone (808) 932-7369

NPI Registry JSON

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

{
    "created_epoch": "1318550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1318550400000",
    "number": "1386929933",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 W KAWILI ST",
            "address_2": "CAMPUS CENTER RM 212",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204075",
            "telephone_number": "808-974-7636",
            "fax_number": "808-933-0868"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 W KAWILI ST",
            "address_2": "CAMPUS CENTER RM 212",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204075",
            "telephone_number": "808-974-7636",
            "fax_number": "808-933-0868"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UH-HILO STUDENT MEDICAL SERVICES",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "UNIVERSITY OF HAWAII @ HILO",
        "enumeration_date": "2011-10-14",
        "last_updated": "2011-10-14",
        "status": "A",
        "authorized_official_last_name": "HIRATA",
        "authorized_official_first_name": "HEATHER",
        "authorized_official_title_or_position": "DIRECTOR OF MEDICAL SERVICES",
        "authorized_official_telephone_number": "808-974-7636",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "APRN-RX"
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "HI",
            "license": "APRN-RX",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1801982749",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NPI",
            "identifier": "1316180714",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Oct 14, 2011; 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.