| Kuuahi Mobile Medical | |
|
101 Aupuni St Ste 313 Hilo HI 96720-4262 | |
| (808) 366-6106 | |
| Not Available |
| Full Name | Kuuahi Mobile Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 101 Aupuni St Ste 313, Hilo, Hawaii |
| Authorized Official Name and Position | Kimberly Richter (OWNER) |
| Authorized Official Contact | 8087699556 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kuuahi Mobile Medical Po Box 11510 Hilo HI 96721-6510 Ph: (808) 366-6106 | Kuuahi Mobile Medical 101 Aupuni St Ste 313 Hilo HI 96720-4262 Ph: (808) 366-6106 |
| NPI Number | 1982338794 |
|---|---|
| Provider Enumeration Date | 07/16/2022 |
| Last Update Date | 01/18/2023 |
| Medicare PECOS PAC ID | 7618347006 |
|---|---|
| Medicare Enrollment ID | O20221229000768 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1982338794 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| Provider Name | Alin V Ledford |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1972716348 PECOS PAC ID: 1658522198 Enrollment ID: I20170523002360 |
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