| Organization Name: | EAST HAWAII MIDWIFE SERVICE |
| NPI Number: | 1417391814 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | ROXANNE CAROLYN ESTES (OWNER OPERATOR) |
| Mailing Address: | 13-3591 Luana St Pahoa |
| State: | HI US |
| Postal Code: | 967788417 |
| Phone Number: | 8089364068 |
| Fax Number: | 8089659768 |
| NPI Enumeration Date: | 04/29/2013 |
| NPI Last Update Date: | 04/29/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QB0400X |
| License Number: | APRN 1123 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Birthing |
| Taxonomy Definition: | |