Organization Active NPI

Mauna Kea Medical Services

  • Oxygen Equipment & Supplies (DME)
  • Hilo, HI
National Provider Identifier
1801825161
Registry record updated Nov 29, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oxygen Equipment & Supplies (DME)Taxonomy code 332BX2000X
License
PMP256 Issued in HI
Legal business name
MAUNA KEA MEDICAL SERVICES
Practice address
355 Kalanianaole Ave Ste A1
Hilo, HI 96720-4738
Phone
(808) 933-1999
Fax
(808) 933-1799
NPI assigned
Jun 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 29, 2007

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

Authorized official

Name
Mrs. Linda Hutson, R.N.
Title
Vice President
Phone
(808) 933-1999

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oxygen Equipment & Supplies (DME) 332BX2000X PMP256 HI Primary

Addresses

Primary practice location

355 Kalanianaole Ave Ste A1
Hilo, HI 96720-4738

Mailing address

355 Kalanianaole Ave Ste A1
Hilo, HI 96720-4738
Phone (808) 933-1999

Other identifiers 2

IdentifierTypeStateIssuer
0000202895OtherHIHMSA HILO
24776301MedicaidHI

National Provider Directory

National Provider Directory

Locations

355 Kalanianaole St
Ste A1
Hilo, HI 96720

NPI Registry JSON

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

{
    "created_epoch": "1151625600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1196294400000",
    "number": "1801825161",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "355 KALANIANAOLE AVE STE A1",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204738",
            "telephone_number": "808-933-1999",
            "fax_number": "808-933-1799"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "355 KALANIANAOLE AVE STE A1",
            "city": "HILO",
            "state": "HI",
            "postal_code": "967204738",
            "telephone_number": "808-933-1999",
            "fax_number": "808-933-1799"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUNA KEA MEDICAL SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-30",
        "last_updated": "2007-11-29",
        "status": "A",
        "authorized_official_last_name": "HUTSON",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "VICE PRESIDENT",
        "authorized_official_telephone_number": "808-933-1999",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "R.N."
    },
    "taxonomies": [
        {
            "code": "332BX2000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Oxygen Equipment & Supplies",
            "state": "HI",
            "license": "PMP256",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA HILO",
            "identifier": "0000202895",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "24776301",
            "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 Nov 29, 2007; 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.