Provider Demographics
NPI:1164606091
Name:ACUTE CARE MEDICAL SERVICES INC
Entity Type:Organization
Organization Name:ACUTE CARE MEDICAL SERVICES INC
Other - Org Name:THE MEDICAL CORNER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:B
Authorized Official - Last Name:SUSSMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-222-7909
Mailing Address - Street 1:660 KAILUA RD
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-2809
Mailing Address - Country:US
Mailing Address - Phone:808-954-4500
Mailing Address - Fax:808-266-3904
Practice Address - Street 1:660 KAILUA RD
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2809
Practice Address - Country:US
Practice Address - Phone:808-954-4500
Practice Address - Fax:808-266-3904
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-27
Last Update Date:2014-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI50254301Medicaid
HI50254301Medicaid