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Organization

WAHIAWA GENERAL HOSPITAL

Active
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Organization

WAHIAWA GENERAL HOSPITAL

Active
Organization subpart
No

Provider details

NPI number
Authorized official
MR. ROBERT D. OLDEN (CHIEF EXECUTIVE OFFICER)
(808) 621-8411
Entity
Organization

Contact information

Practice address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411
(808) 621-4117
Mailing address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411
(808) 621-4117

Taxonomy

Speciality
Code
Description
License number
State
282N00000X
General Acute Care Hospital
Primary
9-H
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000005256
HMSA/ ACUTE SVCS
HI
01
—
0017
TRICARE OUTPATIENT.ACUTE
HI
05
—
0049036801
—
HI
01
—
00A0005254
HMSA QUEST SNF WL
HI
01
—
00H0005259
HMSA & 65C OUTPT & SNF/IC
HI
01
—
00I0005257
HMSA/ ASU/OR SVCS
HI
01
—
00R0005257
HMSA QUEST ICF WL
HI
01
—
00S0005252
HMSA QUEST SNF WL ANC
HI
01
—
00U0005258
HMSA QUEST SNF/ICF ANC
HI
01
—
49036801
ALOHACARE PROVIDER ID
HI
01
—
9171
TRICARE PRO FEE
HI
01
—
D0005258
BCBS HMSA PHARMACY
HI
Enumeration date
03/14/2006
Last updated
04/20/2008
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