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OFFICE FOR SOCIAL MINISTRY NPI 1073569521


NPI Information

NPI: 1073569521
Provider Name: OFFICE FOR SOCIAL MINISTRY

Other Name: MOBILE CARE HEALTH PROJECT

Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
140 HOLOMUA ST
HILO, HI
ZIP 96720
Phone: (808) 935-3050
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OFFICE FOR SOCIAL MINISTRY is a dental clinic center in Hilo, HI. OFFICE FOR SOCIAL MINISTRY NPI is 1073569521. The provider is registered as an organization entity type.
The provider Other Name Is Mobile Care Health Project.

The provider's business location address is:

140 HOLOMUA ST
HILO, HI
ZIP 96720-132
Phone: (808) 935-3050
Fax: (808) 969-4874

The provider's authorized official is Susan Kaye Lundburg .
The authorized official title is Program Director and has the following contact phone number (808) 935-3050.

The enumeration date for this NPI number is 5/26/2006 and was last updated on 8/22/2020.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261QD0000XClinic/CenterDental08661301HAWAIIYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
108661301MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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