# KAHUKU MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** KAHUKU MEDICAL CENTER
- **Other names:** The Clinic in Haleiwa
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1639666233
- **Legal business name:** KAHUKU MEDICAL CENTER
- **Authorized official:** MRS. RACHEL ANN CRISTOBAL (DIRECTOR OF REVENUE CYCLE)
- **Authorized official phone:** (808) 293-6269

## Contact information

- **Practice address:** 66-214 HALEIWA RD, HALEIWA, HI 96712-1510
- **Practice address phone:** (808) 293-9221
- **Mailing address:** 56-117 PUALALEA ST, KAHUKU, HI 96731-2052
- **Mailing address phone:** (808) 293-9221

## Taxonomy

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

## Other

- **Enumeration date:** 04/18/2018
- **Last updated:** 06/11/2019