Provider Demographics
NPI:1639321516
Name:AIRGAS GASPRO INC
Entity Type:Organization
Organization Name:AIRGAS GASPRO INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AREA VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:MARK
Authorized Official - Middle Name:
Authorized Official - Last Name:MAHLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-842-2223
Mailing Address - Street 1:525 KALANIANAOLE AVE
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4753
Mailing Address - Country:US
Mailing Address - Phone:808-969-1123
Mailing Address - Fax:808-961-4608
Practice Address - Street 1:525 KALANIANAOLE AVE
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4753
Practice Address - Country:US
Practice Address - Phone:808-969-1123
Practice Address - Fax:808-961-4608
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-10-22
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI332B00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI57563101Medicaid
HI0000248732OtherHMSA
HI57563101Medicaid