Organization
ALOHA FAMILY PRACTICE CLINIC, LLC
Active
Other names
Aloha Clinic
Organization subpart
No
Provider details
NPI number
Authorized official
MR. DOUGLAS JOHN SCHUSSER (GENERAL MANAGER)
(808) 662-5642
Entity
Organization
Contact information
Practice address
180 DICKENSON ST, SUITE 103, LAHAINA, HI 96761-1215
(808) 662-5642
(808) 662-5642
Mailing address
180 DICKENSON ST, SUITE 103, LAHAINA, HI 96761-1215
(808) 662-5642
(808) 662-5642
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
MD6743
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
05530701
—
HI
01
—
062570275
ALOHACARE
HI
01
—
191746I1
SUMMERLIN
HI
05
—
52799701
—
HI
01
—
C063705
HMSA PIN
HI
Enumeration date
11/16/2006
Last updated
04/20/2015
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