Office For Social Ministry Mobile Care Health Project | |
140 Holomua St Ste B Hilo HI 96720-5132 | |
(808) 935-3050 | |
(808) 935-3794 |
Full Name | Office For Social Ministry Mobile Care Health Project |
---|---|
Speciality | Dentist - General Practice |
Location | 140 Holomua St Ste B, Hilo, Hawaii |
Authorized Official Name and Position | Susan Kaye Lundburg (PROGRAM DIRECTOR) |
Authorized Official Contact | 8089878904 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
---|---|
Office For Social Ministry Mobile Care Health Project 140 Holomua St Ste B Hilo HI 96720-5132 Ph: (808) 935-3050 | Office For Social Ministry Mobile Care Health Project 140 Holomua St Ste B Hilo HI 96720-5132 Ph: (808) 935-3050 |
NPI Number | 1124157128 |
---|---|
Provider Enumeration Date | 03/05/2007 |
Last Update Date | 06/27/2008 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124157128 | NPI | - | NPPES |
08661301 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
1223G0001X | Dentist - General Practice | 08661301 (Hawaii) | Primary |
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Mobile Care Health Project Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 140 Holomua St, Hilo, HI 96720 Phone: 808-935-3050 Fax: 808-969-4874 | |
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