1518077122 NPI number — BARNES-HUNT, INCORPORATED

Table of content: (NPI 1518077122)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1518077122 NPI number — BARNES-HUNT, INCORPORATED

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
BARNES-HUNT, INCORPORATED
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
WENDY L BARNES, MD
Provider Other Organization Name Type Code:
3
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1518077122
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
05/13/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
868 ULULANI ST
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
HILO
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96720-3913
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-935-3883
Provider Business Mailing Address Fax Number:
808-969-9224

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
868 ULULANI ST
Provider Second Line Business Practice Location Address:
SUITE 101
Provider Business Practice Location Address City Name:
HILO
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96720-3913
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-935-3883
Provider Business Practice Location Address Fax Number:
808-969-9224
Provider Enumeration Date:
08/30/2006

Additional Information

Authorized Official

Authorized Official Last Name:
BARNES
Authorized Official First Name:
WENDY
Authorized Official Middle Name:
LEHUA
Authorized Official Title or Position:
OWNER / PRESIDENT
Authorized Official Telephone Number:
808-935-3883

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  MD10395 , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00A0222974 . This is a "HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 08901101 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: MD10395 . This is a "MDX" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 213653 . This is a "HMA, INC." identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




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