Organization Active NPI

Emergency Medical Services System Hawaii Dept of Health

  • Land Ambulance
  • Honolulu, HI
National Provider Identifier
1730183252
Registry record updated Mar 8, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EMERGENCY MEDICAL SERVICES SYSTEM HAWAII DEPT OF HEALTH
Practice address
3675 Kilauea Ave
Trotter Building Basement
Honolulu, HI 96816-2333
Phone
(808) 733-9215
Fax
(808) 733-8332
NPI assigned
Jun 13, 2005
Last updated
Mar 8, 2018By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2018

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

Authorized official

Name
Dr. Alvin Bronstein
Title
Branch Chief
Phone
(808) 733-9210

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Air Ambulance 3416A0800X
Land Ambulance 3416L0300X Primary

Addresses

Primary practice location

3675 Kilauea Ave
Trotter Building Basement
Honolulu, HI 96816-2333

Mailing address

3675 Kilauea Ave
Trotter Building Basement
Honolulu, HI 96816-2333
Phone (808) 733-9215

Other identifiers 2

IdentifierTypeStateIssuer
523193-01MedicaidHI
590012739OtherHIRRB

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040312001249 HI Part B Supplier - Ambulance Service Supplier 6002705480 Practice locations: Wailuku, HI; Waikoloa, HI; Volcano, HI; Pahoa, HI; Ocean View, HI; Naalehu, HI; Lanai City, HI; Lahaina, HI…

National Provider Directory

National Provider Directory
Tax ID family
Emergency Medical Services System2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Locations

466 Kinoole St
Hilo, HI 96720
Phone (808) 932-2900

45-3380 Mamane St
Honokaa, HI 96727
Phone (808) 775-7506

3627 Kilauea Ave
Rm 102
Honolulu, HI 96816

3675 Kilauea Ave
Bsmt
Honolulu, HI 96816
Phone (808) 733-9215

74-5537 Palani Rd
Kailua Kona, HI 96740
Phone (808) 327-3545

78-7159 Puuloa Rd
Kailua Kona, HI 96740
Phone (808) 322-5627

67-5175 Kamamalu St
Kamuela, HI 96743
Phone (808) 887-3021

68-4550 Queen Kaahumanu Hwy
Kamuela, HI 96743
Phone (808) 889-6508

131 S Kihei Rd
Kihei, HI 96753
Phone (808) 879-5414

1830A Honoapiilani Hwy
Lahaina, HI 96761
Phone (808) 661-0632

4950 Hanawai St
Lahaina, HI 96761
Phone (808) 669-1011

15-2605 Keaau Pahoa Rd
Pahoa, HI 96778
Phone (808) 965-2708

68-1771 Pua Melia St
Waikoloa, HI 96738
Phone (808) 883-6101

NPI Registry JSON

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

{
    "created_epoch": "1118620800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1520467200000",
    "number": "1730183252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3675 KILAUEA AVE",
            "address_2": "TROTTER BUILDING BASEMENT",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162333",
            "telephone_number": "808-733-9215",
            "fax_number": "808-733-8332"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 KILAUEA AVE",
            "address_2": "TROTTER BUILDING BASEMENT",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162333",
            "telephone_number": "808-733-9215",
            "fax_number": "808-733-8332"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL SERVICES SYSTEM HAWAII DEPT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-13",
        "last_updated": "2018-03-08",
        "status": "A",
        "authorized_official_last_name": "BRONSTEIN",
        "authorized_official_first_name": "ALVIN",
        "authorized_official_title_or_position": "BRANCH CHIEF",
        "authorized_official_telephone_number": "808-733-9210",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "3416A0800X",
            "taxonomy_group": "",
            "desc": "Ambulance, Air Transport",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3416L0300X",
            "taxonomy_group": "",
            "desc": "Ambulance, Land Transport",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "523193-01",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "RRB",
            "identifier": "590012739",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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 Mar 8, 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.