1619038304 NPI number — HEALTH RESOURCES, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1619038304 NPI number — HEALTH RESOURCES, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
HEALTH RESOURCES, INC.
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:
Provider Other Organization Name Type Code:
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:
1619038304
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
08/22/2020
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
725 KAPIOLANI BLVD
Provider Second Line Business Mailing Address:
#C210
Provider Business Mailing Address City Name:
HONOLULU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96813-6012
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-593-8700
Provider Business Mailing Address Fax Number:
808-593-8701

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
725 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
#C210
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96813-6012
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-593-8700
Provider Business Practice Location Address Fax Number:
808-593-8701
Provider Enumeration Date:
12/13/2006

Additional Information

Authorized Official

Authorized Official Last Name:
MAR
Authorized Official First Name:
DEBORAH
Authorized Official Middle Name:
SEO
Authorized Official Title or Position:
ADMINISTRATOR
Authorized Official Telephone Number:
808-593-8700

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , 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: 50540601 . This is a "HAWAII STATE ID NUMBER" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




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