Provider Demographics
NPI:1457898009
Name:IUC HOLDINGS INC
Entity Type:Organization
Organization Name:IUC HOLDINGS INC
Other - Org Name:ISLAND URGENT CARE PK
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:CANDACE
Authorized Official - Middle Name:
Authorized Official - Last Name:CORCORAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-735-0007
Mailing Address - Street 1:449 KAPAHULU AVE
Mailing Address - Street 2:SUITE 104
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96815-3850
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:98-199 KAMEHAMEHA HWY
Practice Address - Street 2:BUILDING F
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-4811
Practice Address - Country:US
Practice Address - Phone:808-735-0007
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-01-20
Last Update Date:2017-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207P00000XAllopathic & Osteopathic PhysiciansEmergency MedicineGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HIH108713Medicare PIN