Organization
CASTLE MEDICAL CENTER
Active
Parent organization
CASTLE MEDICAL CENTER
Other names
ADVENTIST HEALTH CASTLE
Organization subpart
Yes
Provider details
NPI number
Legal business name
CASTLE MEDICAL CENTER
Authorized official
HEIDAR THORDARSON (FINANCE OFFICER)
(808) 236-5142
Entity
Organization
Contact information
Practice address
642 ULUKAHIKI ST, STE 101, KAILUA, HI 96734
(808) 263-5060
(808) 263-5065
Mailing address
642 ULUKAHIKI ST, STE 101, KAILUA, HI 96734-4400
(808) 263-5060
(808) 263-5065
Taxonomy
Speciality
Code
Description
License number
State
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
333600000X
Pharmacy
—
—
3336C0003X
Community/Retail Pharmacy
Primary
PHY636
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1204370
NCPDP (NATIONAL COUNCIL FOR PRESCRIPTION DRUGS PROGRAMS)
—
01
—
2019360
PK
—
05
—
52187401
—
HI
Enumeration date
03/02/2006
Last updated
05/23/2018
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