Provider Demographics
NPI:1699410472
Name:MACROPHIL, INC.
Entity Type:Organization
Organization Name:MACROPHIL, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:LYDIA
Authorized Official - Middle Name:
Authorized Official - Last Name:GAPAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-367-2724
Mailing Address - Street 1:176 MAMO ST
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-2984
Mailing Address - Country:US
Mailing Address - Phone:808-367-2724
Mailing Address - Fax:
Practice Address - Street 1:176 MAMO ST
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-2984
Practice Address - Country:US
Practice Address - Phone:808-367-2724
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-05-04
Last Update Date:2022-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251J00000XAgenciesNursing Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI000214Medicaid
HI800726Medicaid