Provider Demographics
NPI:1982338794
Name:KUUAHI MOBILE MEDICAL INC
Entity type:Organization
Organization Name:KUUAHI MOBILE MEDICAL INC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:ASHLEY
Authorized Official - Middle Name:KILIHEA
Authorized Official - Last Name:ZIMMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-990-1974
Mailing Address - Street 1:220 QUAIL CREEK CT
Mailing Address - Street 2:
Mailing Address - City:HUBERT
Mailing Address - State:NC
Mailing Address - Zip Code:28539-4390
Mailing Address - Country:US
Mailing Address - Phone:808-990-1974
Mailing Address - Fax:808-437-5236
Practice Address - Street 1:101 AUPUNI ST STE 313
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4262
Practice Address - Country:US
Practice Address - Phone:808-229-5711
Practice Address - Fax:808-437-5236
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-16
Last Update Date:2025-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center