Provider Demographics
NPI:1497427066
Name:IIWI MEDICAL TRANSPORT & LOGISTICS
Entity Type:Organization
Organization Name:IIWI MEDICAL TRANSPORT & LOGISTICS
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:MARK
Authorized Official - Middle Name:H
Authorized Official - Last Name:RULONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-220-2836
Mailing Address - Street 1:1682 PALAMOI ST
Mailing Address - Street 2:
Mailing Address - City:PEARL CITY
Mailing Address - State:HI
Mailing Address - Zip Code:96782-1556
Mailing Address - Country:US
Mailing Address - Phone:808-220-2836
Mailing Address - Fax:
Practice Address - Street 1:1682 PALAMOI ST
Practice Address - Street 2:
Practice Address - City:PEARL CITY
Practice Address - State:HI
Practice Address - Zip Code:96782-1556
Practice Address - Country:US
Practice Address - Phone:808-220-2836
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-01
Last Update Date:2021-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)