Bay Care Med Corp

NPI #1568694180 in Keaau, Hawaii

Provider Information

NPI Number: 1568694180
Entity Type: Organization
Organization Name: Bay Care Med Corp
Primary Specialty: Family Medicine
Enumeration Date: Aug 14, 2009
Last Updated: Jan 15, 2010

Practice Location

Address: 16-540 KEAAU PAHOA RD
Address 2: STE 2-177
City: Keaau
State: Hawaii
ZIP Code: 96749-8155
Phone: (808) 206-5349

Authorized Official

Name: JED A GROOM
Title: CEO
Phone: (808) 206-5349

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Family Medicine	207Q00000X	Primary

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