# WAHIAWA GENERAL HOSPITAL

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** WAHIAWA GENERAL HOSPITAL
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1174589014
- **Legal business name:** WAHIAWA GENERAL HOSPITAL
- **Authorized official:** MR. ROBERT D. OLDEN (CHIEF EXECUTIVE OFFICER)
- **Authorized official phone:** (808) 621-8411

## Contact information

- **Practice address:** 95-390 KUAHELANI AVE, MILILANI, HI 96789-1192
- **Practice address phone:** (808) 627-3200
- **Mailing address:** 128 LEHUA ST, WAHIAWA, HI 96786-2036
- **Mailing address phone:** (808) 621-8411

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 2084P0800X | Psychiatry Physician | — | NULL | — |
| 2084P0800X | Psychiatry Physician | — | — | — |

## Other

- **Enumeration date:** 04/20/2006
- **Last updated:** 07/13/2007
