Provider Demographics
NPI:1245386507
Name:EBK HANDI -TRANS
Entity Type:Organization
Organization Name:EBK HANDI -TRANS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:EDMUND
Authorized Official - Middle Name:D
Authorized Official - Last Name:CALUCAG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-688-2320
Mailing Address - Street 1:94-1021 KALOLI LOOP
Mailing Address - Street 2:
Mailing Address - City:WAIPAHU
Mailing Address - State:HI
Mailing Address - Zip Code:96797-5410
Mailing Address - Country:US
Mailing Address - Phone:808-688-2320
Mailing Address - Fax:808-688-2394
Practice Address - Street 1:94-1021 KALOLI LOOP
Practice Address - Street 2:
Practice Address - City:WAIPAHU
Practice Address - State:HI
Practice Address - Zip Code:96797-5410
Practice Address - Country:US
Practice Address - Phone:808-688-2320
Practice Address - Fax:808-688-2394
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-26
Last Update Date:2008-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW05184582343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)