Organization
SUTTER HEALTH PACIFIC
Active
Other names
Sutter Health Kahi Mohala
Organization subpart
No
Provider details
NPI number
Authorized official
CRYSTAL LI SANTIAGO-JACKSON (MEDICAL STAFF COORDINATOR)
(808) 677-2587
Entity
Organization
Contact information
Practice address
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 677-2587
(808) 677-2592
Mailing address
91-2301 OLD FT WEAVER RD, EWA BEACH, HI 96706-3602
(808) 677-2587
(808) 677-2592
Taxonomy
Speciality
Code
Description
License number
State
283Q00000X
Psychiatric Hospital
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
503004
—
HI
Enumeration date
08/30/2022
Last updated
08/30/2022
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