| Midnight Sun Genl Medicine Clinic | |
|
91-3633 Kauluakoko St Unit 406 Ewa Beach HI 96706-5867 | |
| (907) 775-6780 | |
| (808) 312-4582 |
| Full Name | Midnight Sun Genl Medicine Clinic |
|---|---|
| Speciality | Family Medicine |
| Location | 91-3633 Kauluakoko St Unit 406, Ewa Beach, Hawaii |
| Authorized Official Name and Position | Jerald R Scott (MEDICAL DIRECTOR AND OWNER) |
| Authorized Official Contact | 9077756780 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Midnight Sun Genl Medicine Clinic 91-3633 Kauluakoko St Unit 406 Ewa Beach HI 96706-5867 Ph: (907) 775-6780 | Midnight Sun Genl Medicine Clinic 91-3633 Kauluakoko St Unit 406 Ewa Beach HI 96706-5867 Ph: (907) 775-6780 |
| NPI Number | 1497336226 |
|---|---|
| Provider Enumeration Date | 04/14/2021 |
| Last Update Date | 08/19/2021 |
| Medicare PECOS PAC ID | 8123426483 |
|---|---|
| Medicare Enrollment ID | O20211018001674 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1497336226 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
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