NPIMap

Organization Active NPI

Emergency Medical Services System

Doing business as Hawai'I Dept of Health-Rural

  • Land Ambulance
  • Honolulu, HI
National Provider Identifier
1962628305
Registry record updated Nov 14, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Land AmbulanceTaxonomy code 3416L0300X
Legal business name
EMERGENCY MEDICAL SERVICES SYSTEM
Doing business as
Hawai'I Dept of Health-Rural
Practice address
3627 Kilauea Ave
Honolulu, HI 96816-2317
Phone
(808) 733-8329
NPI assigned
Apr 17, 2007
Last updated
Nov 14, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
EMERGENCY MEDICAL SERVICES SYSTEMAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 14, 2012

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

Authorized official

Name
Dr. Linda RosenNPI 1578890984
Title
Program Manager
Phone
(808) 733-8329

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 2

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

Addresses

Primary practice location

3627 Kilauea Ave
Honolulu, HI 96816-2317

Mailing address

PO Box 269110
Sacramento, CA 95826-9110

Other identifiers 2

IdentifierTypeStateIssuer
523193-01MedicaidHI
590012739OtherHIRRB

Other names 1

  • HAWAI'I DEPT OF HEALTH-RURAL Doing business as

National Provider Directory

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

Other organizations with this tax ID 1

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

Locations

3627 Kilauea Ave
Honolulu, HI 96816
Phone (808) 733-9260

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1176768000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1352851200000",
    "number": "1962628305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 269110",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958269110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3627 KILAUEA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968162317",
            "telephone_number": "808-733-8329"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGENCY MEDICAL SERVICES SYSTEM",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "EMERGENCY MEDICAL SERVICES SYSTEM",
        "enumeration_date": "2007-04-17",
        "last_updated": "2012-11-14",
        "status": "A",
        "authorized_official_last_name": "ROSEN",
        "authorized_official_first_name": "LINDA",
        "authorized_official_title_or_position": "PROGRAM MANAGER",
        "authorized_official_telephone_number": "808-733-8329",
        "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": [
        {
            "organization_name": "HAWAI'I DEPT OF HEALTH-RURAL",
            "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 Nov 14, 2012; 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.