Provider Demographics
NPI:1558466300
Name:HILO GAS INC
Entity Type:Organization
Organization Name:HILO GAS INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JAMES
Authorized Official - Middle Name:FRANKLIN
Authorized Official - Last Name:VANNATTA
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-937-5028
Mailing Address - Street 1:201 KUIKAHI ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2223
Mailing Address - Country:US
Mailing Address - Phone:808-937-5028
Mailing Address - Fax:808-640-3466
Practice Address - Street 1:201 KUIKAHI ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2223
Practice Address - Country:US
Practice Address - Phone:808-937-5028
Practice Address - Fax:808-640-3466
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-09-14
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMD12851207L00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207L00000XAllopathic & Osteopathic PhysiciansAnesthesiologyGroup - Multi-Specialty