| Big Island Internal Medicine, Inc | |
|
79-1019 Haukapila St Kealakekua HI 96750-7920 | |
| (808) 756-1795 | |
| Not Available |
| Full Name | Big Island Internal Medicine, Inc |
|---|---|
| Speciality | Internal Medicine |
| Location | 79-1019 Haukapila St, Kealakekua, Hawaii |
| Authorized Official Name and Position | Stephen Denzer (OWNER) |
| Authorized Official Contact | 8089372595 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Big Island Internal Medicine, Inc Po Box 667 Kealakekua HI 96750-0667 Ph: (808) 756-1795 | Big Island Internal Medicine, Inc 79-1019 Haukapila St Kealakekua HI 96750-7920 Ph: (808) 756-1795 |
| NPI Number | 1992844021 |
|---|---|
| Provider Enumeration Date | 02/05/2007 |
| Last Update Date | 01/07/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1992844021 | NPI | - | NPPES |
| 01196701 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 4563 (Hawaii) | Primary |
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