| Bay Care Med Corp | |
|
16-540 Keaau Pahoa Rd Ste 2-177 Keaau HI 96749-8155 | |
| (808) 206-5349 | |
| Not Available |
| Full Name | Bay Care Med Corp |
|---|---|
| Speciality | Family Medicine |
| Location | 16-540 Keaau Pahoa Rd, Keaau, Hawaii |
| Authorized Official Name and Position | Jed A Groom (CEO) |
| Authorized Official Contact | 8082065349 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Bay Care Med Corp 16-540 Keaau Pahoa Rd Ste 2-177 Keaau HI 96749-8155 Ph: () - | Bay Care Med Corp 16-540 Keaau Pahoa Rd Ste 2-177 Keaau HI 96749-8155 Ph: (808) 206-5349 |
| NPI Number | 1568694180 |
|---|---|
| Provider Enumeration Date | 08/14/2009 |
| Last Update Date | 01/15/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568694180 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | MD4251 (Hawaii) | Primary |
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