Organization Active NPI

Hawaii Life Flight Inc.

Doing business as Hawaii Life Flight

  • Air Ambulance
  • Honolulu, HI
National Provider Identifier
1639498967
Registry record updated Aug 3, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Air AmbulanceTaxonomy code 3416A0800X
License
17-010 Issued in HI
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, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 3, 2018

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
644684MedicaidHI

Other names 1

  • Hawaii Life Flight Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 Directory

Locations

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.

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

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.

Verify at the official NPI Registry.