Organization
TRIPLER ARMY MEDICAL CENTER
Active
Parent organization
TRIPLER ARMY MEDICAL CENTER
Other names
Warrior Ohana Medical Home-Shafter
Organization subpart
Yes
Provider details
NPI number
Legal business name
TRIPLER ARMY MEDICAL CENTER
Authorized official
HUGH KEEL (PRMC UBO)
(808) 433-1016
Entity
Organization
Contact information
Practice address
91-1010 SHANGRILA ST, SUITE 100, KAPOLEI, HI 96707-2161
(808) 433-3418
Mailing address
1 JARRETT WHITE RD, ATTN PAD MCHK-PAT-T - UNIFORM BUSINESS OFFICE, TRIPLER ARMY MEDICAL CENTER, HI 96859-5001
(808) 433-6103
Taxonomy
Speciality
Code
Description
License number
State
261QM1100X
Military/U.S. Coast Guard Outpatient Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1831146281
PARENT BILLING NPI
—
Enumeration date
07/19/2010
Last updated
12/18/2012
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