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Organization

STATE OF HAWAII DEPARTMENT OF HEALTH

Active
Parent organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Other names
State of Hawaii Department of Health - AMHD CCS
Organization subpart
Yes

Provider details

NPI number
Legal business name
STATE OF HAWAII DEPARTMENT OF HEALTH
Authorized official
RAQUEL B. NAKAHARA (FINANCIAL RESOURCE SPECIALIST)
(808) 590-7320
Entity
Organization

Contact information

Practice address
1250 PUNCHBOWL ST, RM 256, HONOLULU, HI 96813-2416
(808) 590-7320
(808) 586-4745
Mailing address
1250 PUNCHBOWL ST, RM 256, HONOLULU, HI 96813-2416
(808) 590-7320
(808) 586-4745

Taxonomy

Speciality
Code
Description
License number
State
251S00000X
Community/Behavioral Health Agency
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
556736
OHANA-CCS
HI
Enumeration date
12/05/2007
Last updated
06/18/2014
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