# NA PU UWAI

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1649382508
- **Authorized official:** JERRY J CLEMENTE (CHIEF FINANCIAL OFFICER)
- **Authorized official phone:** (808) 560-3656

## Contact information

- **Practice address:** 604 MAUNALOA HIGHWAY, BLDG. C, KAUNAKAKAI, HI 96748-0130
- **Practice address phone:** (808) 560-3653
- **Practice address fax:** (808) 560-3385
- **Mailing address:** PO BOX 130, 604 MAUNALOA HIGHWAY, BLDG. C, KAUNAKAKAI, HI 96748-0130
- **Mailing address phone:** (808) 560-3653
- **Mailing address fax:** (808) 560-3385

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1300X | Multi-Specialty Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 08/31/2006
- **Last updated:** 08/16/2018