HAWAII LIFE FLIGHT, LLC (NPI# 1912410416) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912410416 |
| Entity Type | Organization |
| Organization Name | HAWAII LIFE FLIGHT, LLC |
| Other Organization Name | HAWAII LIFE FLIGHT |
| Practice Address |
73-990 Kukuinui St Kailua Kona HI 96740-8580 |
| Mailing Address |
Po Box 199 West Plains MO 65775-0199 |
| Practice Telephone | 8086358264 |
| Mailing Telephone | 8016194900 |
| Enumeration Date | 2017-11-07 |
| Last Update Date | 2020-02-28 |
| Authorized Official Name | ERIC THOMAS (SVP OF REVENUE MANAGEMENT) |
| Authorized Official Telephone | 8772885340 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAWAII LIFE FLIGHT, LLC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3416A0800X |
Ambulance Specialization: Air Transport |
Transportation Services |
| Other Name | Type Code |
|---|---|
| Hawaii Life Flight | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308592 | Hawaii Life Flight, LLC | Ambulance | 50 Malihini Pl, Wailuku, HI 96793-3505 | 2018-08-31 |
| 1346753712 | Hawaii Life Flight, LLC | Ambulance | 317 Ilio Road, Kaunakakai, HI 96748 | 2017-11-08 |
| 1871006361 | Hawaii Life Flight, LLC | Ambulance | 4480 Kuene St, Lihue, HI 96766-1038 | 2017-11-07 |
| 1720591209 | Hawaii Life Flight, LLC | Ambulance | 1152 Heauka Pl, Hilo, HI 96720-1578 | 2017-11-07 |
| 1578076063 | Hawaii Life Flight, LLC | Ambulance | 67-1270 Kamaloo St, Kamuela, HI 96743-8389 | 2017-11-07 |
| 1114497922 | Hawaii Life Flight, LLC | Ambulance | 10888 S 300 W, South Jordan, UT 84095-4043 | 2018-12-05 |
| 1740793223 | Hawaii Life Flight, LLC | Ambulance | 150 Lagoon Dr, Honolulu, HI 96819-1891 | 2017-11-07 |
| Street Address |
73-990 KUKUINUI ST |
| City | KAILUA KONA |
| State | HI |
| Zip Code | 96740-8580 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649870577 | Elise Christine Duvua | Massage Therapist | 75-127 Lunadule Rd. Suite #5, Kailua Kona, HI 96740 | 2020-10-29 |
| 1356954820 | Zellda Keath | Acupuncturist | Kohanaiki Club Services, 73-2055 Ala Kohanaiki, Kailua-kona, HI 96740 | 2020-08-25 |
| 1467070979 | Safeway Inc | Durable Medical Equipment & Medical Supplies | 75-971 Henry St, Kailua Kona, HI 96740 | 2020-07-10 |
| 1275182040 | Jessica Marie Penaranda | Pharmacist | 5595 Palani Road, Kona, HI 96740 | 2019-09-05 |
| 1558870600 | Malia Lewis Vannatta | Nurse Practitioner | 75-184 Hulalalai Rd, 302, Kailua Kona, HI 96740 | 2017-09-20 |
| 1043759087 | Paul Michael Heller | Acupuncturist | 72 3996 Hawaii Belt Rd, Kailua Kona, HI 96740 | 2017-02-22 |
| 1255787974 | John Fujita | Pharmacist | 74-5456 Kamakaeha Ave, Kailua Kona, HI 96740 | 2016-05-11 |
| 1326425083 | Lauren Deweese | Massage Therapist | 76-6194 Holualoa Beach Rd, Unit 6, Kailua-kona, HI 96740 | 2015-05-01 |
| 1073907754 | Kathleen Marie Coyle | Massage Therapist | 76-217 Keakealani Street, Kailua Kona, HI 96740 | 2015-03-20 |
| 1841609971 | Shellie R Norman | Nurse Practitioner | 75-5995 Kuakini Hwy Ste 443&445, Kailua Kona, HI 96740 | 2014-08-01 |
| Find all providers in zip 96740 | ||||
| Taxonomy Code | 3416A0800X |
| Grouping | Transportation Services |
| Classification | Ambulance |
| Specialization | Air Transport |
| Definition to come... |
| Notes: [1/1/2005: title modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1104308592 | Hawaii Life Flight, LLC | Ambulance | 50 Malihini Pl, Wailuku, HI 96793-3505 | 2018-08-31 |
| 1346753712 | Hawaii Life Flight, LLC | Ambulance | 317 Ilio Road, Kaunakakai, HI 96748 | 2017-11-08 |
| 1871006361 | Hawaii Life Flight, LLC | Ambulance | 4480 Kuene St, Lihue, HI 96766-1038 | 2017-11-07 |
| 1720591209 | Hawaii Life Flight, LLC | Ambulance | 1152 Heauka Pl, Hilo, HI 96720-1578 | 2017-11-07 |
| 1578076063 | Hawaii Life Flight, LLC | Ambulance | 67-1270 Kamaloo St, Kamuela, HI 96743-8389 | 2017-11-07 |
| 1639498967 | Hawaii Life Flight Inc. | Ambulance | 150 Lagoon Dr, Honolulu, HI 96819 | 2010-05-26 |
| 1912940065 | Hawaii Air Ambulance, Inc | Ambulance | 155 Kapalulu Pl, Honolulu, HI 96819-1806 | 2006-06-14 |
| 1932159175 | Airmed Hawaii | Ambulance | 90 Nakolo Pl, Suite 203, Honolulu, HI 96819-1860 | 2006-05-10 |
| 1730183252 | Emergency Medical Services System Hawaii Dept of Health | Ambulance | 3675 Kilauea Ave, Trotter Building Basement, Honolulu, HI 96816-2333 | 2005-06-13 |
| 1740793223 | Hawaii Life Flight, LLC | Ambulance | 150 Lagoon Dr, Honolulu, HI 96819-1891 | 2017-11-07 |
| Find all providers with the same taxonomy | ||||
| City | KAILUA KONA |
| Zip Code | 96740 |
Please comment or provide details below to improve the information on HAWAII LIFE FLIGHT, LLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.