Organization
INTEGRATED CARE BHCM LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
THOMAS ANDERSEN (CEO)
(315) 608-0686
Entity
Organization
Contact information
Practice address
5922 GANNET AVE UNIT B, EWA BEACH, HI 96706-3212
(315) 608-0686
(689) 212-0762
Mailing address
5922 GANNET AVE UNIT B, EWA BEACH, HI 96706-3212
(315) 608-0686
(315) 608-0686
Taxonomy
Speciality
Code
Description
License number
State
171M00000X
Case Manager/Care Coordinator
Primary
—
—
Other
Enumeration date
11/18/2025
Last updated
11/18/2025
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