Organization
KAU HOSPITAL
Active
Other names
East Hawaii Health Clinic at Pahoa
Organization subpart
No
Provider details
NPI number
Authorized official
LAURI ELIZABETH REDUS (RURAL HEALTH CLINIC PRACTICE ADMIN)
(808) 932-3801
Entity
Organization
Contact information
Practice address
15-2662 PAHOA VILLAGE RD, SUITE 301, 303-305, 307, PAHOA, HI 96778-7730
(808) 965-1801
Mailing address
15-2660 PAHOA VILLAGE ROAD, SUITE 306, PMB 8741, PAHOA, HI 96778-7802
(808) 965-1801
Taxonomy
Speciality
Code
Description
License number
State
261QR1300X
Rural Health Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
832396
—
HI
Enumeration date
11/06/2008
Last updated
10/10/2024
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