| Mcreynolds Medical Enterprises Llc | |
|
868 Ululani St Ste 108 Hilo HI 96720-3913 | |
| (765) 729-1274 | |
| Not Available |
| Full Name | Mcreynolds Medical Enterprises Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 868 Ululani St Ste 108, Hilo, Hawaii |
| Authorized Official Name and Position | Robert Mcreynolds (OWNER/PHYSICIAN) |
| Authorized Official Contact | 7657291274 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mcreynolds Medical Enterprises Llc 868 Ululani St Ste 108 Hilo HI 96720-3913 Ph: (765) 729-1274 | Mcreynolds Medical Enterprises Llc 868 Ululani St Ste 108 Hilo HI 96720-3913 Ph: (765) 729-1274 |
| NPI Number | 1316776933 |
|---|---|
| Provider Enumeration Date | 07/31/2024 |
| Last Update Date | 07/31/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316776933 | NPI | - | NPPES |
| 001266 | Medicaid | HI | |
| R057879 | Other | HI | UHA |
| 1659767275 | Other | HI | TRICARE PPO |
| SMXPR0059333 | Other | HI | ALOHACARE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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