| Island Medical Care Inc | |
|
410 Kilani Ave Wahiawa HI 96786-1844 | |
| (808) 594-7845 | |
| (844) 285-8853 |
| Full Name | Island Medical Care Inc |
|---|---|
| Speciality | Clinic/Center |
| Location | 410 Kilani Ave, Wahiawa, Hawaii |
| Authorized Official Name and Position | Thomas Isadore (PHYSICIAN) |
| Authorized Official Contact | 8085947845 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Island Medical Care Inc 647 Kunawai Ln Apt 408 Honolulu HI 96817-2259 Ph: (808) 594-7845 | Island Medical Care Inc 410 Kilani Ave Wahiawa HI 96786-1844 Ph: (808) 594-7845 |
| NPI Number | 1316675630 |
|---|---|
| Provider Enumeration Date | 08/14/2022 |
| Last Update Date | 08/19/2022 |
| Medicare PECOS PAC ID | 5092198317 |
|---|---|
| Medicare Enrollment ID | O20220819001343 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316675630 | NPI | - | NPPES |
| 088472 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QH0100X | Clinic/center - Health Service | (* (Not Available)) | Secondary |
| Provider Name | Thomas Isadore |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861449951 PECOS PAC ID: 3375514581 Enrollment ID: I20040803000014 |
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