Organization · NPI-2

Big Island Family Medicine INC

Family Medicine · Hilo, HI

NPI number1124506845
StatusActive
Last updated in NPPESAug 3, 2018

Details

NPI
1124506845
Entity type
Organization (NPI-2)
Legal business name
Big Island Family Medicine INC
Organization subpart
No
Enumeration date
Aug 3, 2018
Last updated
Aug 3, 2018

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
207Q00000X Family Medicine13746HIYes

Practice location

670 Ponahawai St Ste 207
Hilo, HI 96720-7830

Phone 808-365-5988 · Fax 808-365-5989

Mailing address

670 Ponahawai St Ste 207
Hilo, HI 96720-7830

Phone 808-365-5988 · Fax 808-365-5989

Authorized official

Gina Salcedo
Owner
8083877970

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