# TRIPLER ARMY MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** TRIPLER ARMY MEDICAL CENTER
- **Other names:** USADC HAWAII NA KOA
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1992953897
- **Legal business name:** TRIPLER ARMY MEDICAL CENTER
- **Authorized official:** HUGH KEEL (PRMC UBO)
- **Authorized official phone:** (808) 433-1016

## Contact information

- **Practice address:** 1 JARRETT WHITE RD, NA KOA DENTAL CLINIC BLDG 678, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
- **Practice address phone:** (808) 433-6825
- **Mailing address:** 1 JARRETT WHITE RD, ATTN PAD MCHK-PAT-T, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
- **Mailing address phone:** (808) 433-6103

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QM1100X | Military/U.S. Coast Guard Outpatient Clinic/Center | — | NULL | Yes |

## Other

- **Enumeration date:** 09/04/2008
- **Last updated:** 12/18/2012