Emergency Medical Care West

NPI #1134327711 in Ewa Beach, Hawaii

Provider Information

NPI Number: 1134327711
Entity Type: Organization
Organization Name: Emergency Medical Care West
Primary Specialty: Emergency Medicine
Enumeration Date: Jul 5, 2007
Last Updated: Apr 20, 2008

Practice Location

Address: 91-2141 FORT WEAVER RD
City: Ewa Beach
State: Hawaii
ZIP Code: 96706-1993
Phone: (808) 678-7023

Authorized Official

Name: JENNIFER PROVASNIK
Title: SUPERVISOR OF PROVIDER ENROLLMENT
Phone: (800) 355-0808

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Emergency Medicine	207P00000X	Primary

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