Provider Demographics
NPI:1891099495
Name:AMERICAN HYPERBARIC CENTERS, INC.
Entity Type:Organization
Organization Name:AMERICAN HYPERBARIC CENTERS, INC.
Other - Org Name:AMERICAN MARINE CORPORATION
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:JIM
Authorized Official - Middle Name:
Authorized Official - Last Name:THOMPSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:907-565-4600
Mailing Address - Street 1:851 FORT STREET MALL STE 100
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-4300
Mailing Address - Country:US
Mailing Address - Phone:808-791-0744
Mailing Address - Fax:808-791-0716
Practice Address - Street 1:851 FORT STREET MALL STE 100
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-4300
Practice Address - Country:US
Practice Address - Phone:808-791-0744
Practice Address - Fax:808-791-0716
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-12-22
Last Update Date:2010-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI10498119261QM2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM2500XAmbulatory Health Care FacilitiesClinic/CenterMedical Specialty