HAWAII LIFE FLIGHT, LLC (NPI# 1720591209) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1720591209 |
| Entity Type | Organization |
| Organization Name | HAWAII LIFE FLIGHT, LLC |
| Other Organization Name | HAWAII LIFE FLIGHT |
| Practice Address |
1152 Heauka Pl Hilo HI 96720-1578 |
| Mailing Address |
Po Box 199 West Plains MO 65775-0199 |
| Practice Telephone | 8086358264 |
| Mailing Telephone | 8016194900 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | ERIC THOMAS (SVP OF REV MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAWAII LIFE FLIGHT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Hawaii Life Flight | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308592 | Hawaii Life Flight, LLC | Ambulance | 50 Malihini Pl, Wailuku, HI 96793-3505 | 2018-08-31 |
| 1346753712 | Hawaii Life Flight, LLC | Ambulance | 317 Ilio Road, Kaunakakai, HI 96748 | 2017-11-08 |
| 1871006361 | Hawaii Life Flight, LLC | Ambulance | 4480 Kuene St, Lihue, HI 96766-1038 | 2017-11-07 |
| 1578076063 | Hawaii Life Flight, LLC | Ambulance | 67-1270 Kamaloo St, Kamuela, HI 96743-8389 | 2017-11-07 |
| 1912410416 | Hawaii Life Flight, LLC | Ambulance | 73-990 Kukuinui St, Kailua Kona, HI 96740-8580 | 2017-11-07 |
| 1114497922 | Hawaii Life Flight, LLC | Ambulance | 10888 S 300 W, South Jordan, UT 84095-4043 | 2018-12-05 |
| 1740793223 | Hawaii Life Flight, LLC | Ambulance | 150 Lagoon Dr, Honolulu, HI 96819-1891 | 2017-11-07 |
| Street Address |
1152 HEAUKA PL |
| City | HILO |
| State | HI |
| Zip Code | 96720-1578 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308592 | Hawaii Life Flight, LLC | Ambulance | 50 Malihini Pl, Wailuku, HI 96793-3505 | 2018-08-31 |
| 1346753712 | Hawaii Life Flight, LLC | Ambulance | 317 Ilio Road, Kaunakakai, HI 96748 | 2017-11-08 |
| 1871006361 | Hawaii Life Flight, LLC | Ambulance | 4480 Kuene St, Lihue, HI 96766-1038 | 2017-11-07 |
| 1578076063 | Hawaii Life Flight, LLC | Ambulance | 67-1270 Kamaloo St, Kamuela, HI 96743-8389 | 2017-11-07 |
| 1912410416 | Hawaii Life Flight, LLC | Ambulance | 73-990 Kukuinui St, Kailua Kona, HI 96740-8580 | 2017-11-07 |
| 1639498967 | Hawaii Life Flight Inc. | Ambulance | 150 Lagoon Dr, Honolulu, HI 96819 | 2010-05-26 |
| 1912940065 | Hawaii Air Ambulance, Inc | Ambulance | 155 Kapalulu Pl, Honolulu, HI 96819-1806 | 2006-06-14 |
| 1932159175 | Airmed Hawaii | Ambulance | 90 Nakolo Pl, Suite 203, Honolulu, HI 96819-1860 | 2006-05-10 |
| 1730183252 | Emergency Medical Services System Hawaii Dept of Health | Ambulance | 3675 Kilauea Ave, Trotter Building Basement, Honolulu, HI 96816-2333 | 2005-06-13 |
| 1740793223 | Hawaii Life Flight, LLC | Ambulance | 150 Lagoon Dr, Honolulu, HI 96819-1891 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.