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BIG ISLAND FAMILY MEDICINE INC NPI 1124506845


NPI Information

NPI: 1124506845
Provider Name: BIG ISLAND FAMILY MEDICINE INC
Classification: Family Medicine - 207Q00000X
Entity Type: Organization

CLIA Number: 12D2162904

Address:
670 PONAHAWAI ST STE 207
HILO, HI
ZIP 96720
Phone: (808) 365-5988
Get Directions

BIG ISLAND FAMILY MEDICINE INC is a family medicine in Hilo, HI. The provider is family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. BIG ISLAND FAMILY MEDICINE INC NPI is 1124506845. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

670 PONAHAWAI ST STE 207
HILO, HI
ZIP 96720-830
Phone: (808) 365-5988
Fax: (808) 365-5989

The provider's authorized official is Gina Salcedo .
The authorized official title is Owner and has the following contact phone number (808) 387-7970.

The CLIA number assigned to this NPI record is 12D2162904 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/3/2018 and was last updated on 8/3/2018.


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
1207Q00000XFamily Medicine13746HAWAIIYes

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
100G0318159OTHERHMSA (BSBS OF HAWAII)

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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