Provider Demographics
NPI:1992396469
Name:WING SPIRIT, INC.
Entity type:Organization
Organization Name:WING SPIRIT, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:RUTHIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEARWATER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-689-7910
Mailing Address - Street 1:55 MERCHANT ST STE 1600
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4326
Mailing Address - Country:US
Mailing Address - Phone:808-689-7910
Mailing Address - Fax:
Practice Address - Street 1:2450 KEKUANAOA ST STE 154
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-7520
Practice Address - Country:US
Practice Address - Phone:808-731-5022
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:WING SPIRIT, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-01-28
Last Update Date:2021-01-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes341600000XTransportation ServicesAmbulance
No207PE0004XAllopathic & Osteopathic PhysiciansEmergency MedicineEmergency Medical ServicesGroup - Single Specialty