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Organization

WAHIAWA GENERAL HOSPITAL

Active
Parent organization
WAHIAWA GENERAL HOSPITAL
Organization subpart
Yes

Provider details

NPI number
Legal business name
WAHIAWA GENERAL HOSPITAL
Authorized official
MR. ROBERT D. OLDEN (CHIEF EXECUTIVE OFFICER)
(808) 621-8411
Entity
Organization

Contact information

Practice address
95-390 KUAHELANI AVE, MILILANI, HI 96789-1192
(808) 627-3200
Mailing address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
2084P0800X
Psychiatry Physician

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
435
ALOHACARE GROUP ID
HI
Enumeration date
04/20/2006
Last updated
07/13/2007
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