Active NPI
Hawaii Life Flight Inc.
Doing business as Hawaii Life Flight
- Air Ambulance
- Honolulu, HI
National Provider Identifier
1639498967
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Air Ambulance
- License
- 17-010
- Legal business name
- HAWAII LIFE FLIGHT INC.
- Doing business as
- Hawaii Life Flight
- Practice address
- 150 Lagoon Dr
Honolulu, HI 96819 - Phone
- (801) 619-4900
- Fax
- (801) 983-6052
- NPI assigned
- May 26, 2010
- Last updated
- Aug 3, 2018
- 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
- Mr. Eric Thomas
- Title
- SVP of Revenue Management
- Phone
- (877) 288-5340
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Air Ambulance | 3416A0800X | 12-008 | HI | |
| Air Ambulance | 3416A0800X | |||
| Air Ambulance | 3416A0800X | 17-010 | HI | Primary |
Addresses
Primary practice location
150 Lagoon Dr
Honolulu, HI 96819
Mailing address
10888 S 300 W
South Jordan, UT 84095-4043
Phone (801) 619-4900
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 644684 | Medicaid | HI |
Other names 1
- Hawaii Life Flight
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20100817000865 | HI | Part B Supplier - Ambulance Service Supplier | 0244364933 | Practice locations: Waimea, HI; Lihue, HI; Kaunakakai, HI; Honolulu, HI; Kailua Kona, HI; Hilo, HI |
National Provider Directory
National Provider DirectoryLocations
3980 Airport Loop
Hoolehua, HI 96729
Phone (808) 833-2270
73-200 Kupipi St
Kailua Kona, HI 96740
Phone (316) 932-1414
3901 Mokulele Loop
Lihue, HI 96766
Phone (808) 635-8264
Ownership & related parties
Subparts reporting this organization as parent 7
Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.
-
- Air Ambulance
- Wailuku, HI
- NPI 1104308592
-
- Air Ambulance
- Kaunakakai, HI
- NPI 1346753712
-
- Air Ambulance
- Kamuela, HI
- NPI 1578076063
-
- Air Ambulance
- Hilo, HI
- NPI 1720591209
-
- Air Ambulance
- Honolulu, HI
- NPI 1740793223
-
- Air Ambulance
- Lihue, HI
- NPI 1871006361
-
- Air Ambulance
- Kailua Kona, HI
- NPI 1912410416
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1274832000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1533254400000",
"number": "1639498967",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10888 S 300 W",
"city": "SOUTH JORDAN",
"state": "UT",
"postal_code": "840954043",
"telephone_number": "801-619-4900",
"fax_number": "801-619-8077"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "150 LAGOON DR",
"city": "HONOLULU",
"state": "HI",
"postal_code": "96819",
"telephone_number": "801-619-4900",
"fax_number": "801-983-6052"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "HAWAII LIFE FLIGHT INC.",
"organizational_subpart": "NO",
"enumeration_date": "2010-05-26",
"last_updated": "2018-08-03",
"status": "A",
"authorized_official_last_name": "THOMAS",
"authorized_official_first_name": "ERIC",
"authorized_official_title_or_position": "SVP OF REVENUE MANAGEMENT",
"authorized_official_telephone_number": "877-288-5340",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "HI",
"license": "12-008",
"primary": false
},
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": null,
"license": null,
"primary": false
},
{
"code": "3416A0800X",
"taxonomy_group": "",
"desc": "Ambulance, Air Transport",
"state": "HI",
"license": "17-010",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "644684",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Hawaii Life Flight",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Hawaii Life Flight",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Honolulu, HI
- Hawaii International Child Placement & Family Services, Inc. (Pono Roots Counseling Center)
- Hawaii Irx, LLC (Hawaii Ascend Pharmacy)
- Hawaii Kai Health Care LLC (Hawaii Kai Health Care)
- Hawaii Kai Pscyhiatric Services, LLC
- Hawaii Kidney Specialists, LLP
- Hawaii Life Flight, LLC
- Hawaii Meals on Wheels, Inc.
- Hawaii Medical Center East
- Hawaii Medical Center East (Hawaii Medical Center East Liver Center)
- Hawaii Medical Center East
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 3, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.