Provider Demographics
NPI:1285343228
Name:WHOLE SYSTEMS HEALTHCARE - HILO
Entity type:Organization
Organization Name:WHOLE SYSTEMS HEALTHCARE - HILO
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HILO CLINIC DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:HEATHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKER-BRUNGARD
Authorized Official - Suffix:
Authorized Official - Credentials:ND, LAC
Authorized Official - Phone:808-300-2432
Mailing Address - Street 1:192 KAPIOLANI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720
Mailing Address - Country:US
Mailing Address - Phone:808-300-2432
Mailing Address - Fax:
Practice Address - Street 1:192 KAPIOLANI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720
Practice Address - Country:US
Practice Address - Phone:808-300-2432
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WHOLE SYSTEMS HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-11-18
Last Update Date:2022-11-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QH0100XAmbulatory Health Care FacilitiesClinic/CenterHealth Service