NPI 1720971773

Integrated Provider Services LLC

Organisation Preferred Provider Organization Honolulu, HI

Practice location

Address: 1122 Kumukumu St APT E, Honolulu, HI 96825-2618
Phone: (808) 798-9979
Mailing address: PO Box 26043, Honolulu, HI 96825-6043

Authorised official

Name: Jessica Dawson
Title: Owner, Manager
Phone: (808) 798-9979

Registered specialties

Preferred Provider Organization Primary

Managed Care Organizations Taxonomy 305R00000X

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Registry record

NPI: 1720971773
Entity type: Organization
NPI issued: 29 May 2025
Record last updated: 21 May 2026

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.