Organization
KAHUKU MEDICAL CENTER
Active
Parent organization
KAHUKU MEDICAL CENTER
Other names
The Clinic in Haleiwa
Organization subpart
Yes
Provider details
NPI number
Legal business name
KAHUKU MEDICAL CENTER
Authorized official
MRS. RACHEL ANN CRISTOBAL (DIRECTOR OF REVENUE CYCLE)
(808) 293-6269
Entity
Organization
Contact information
Practice address
66-214 HALEIWA RD, HALEIWA, HI 96712-1510
(808) 293-9221
Mailing address
56-117 PUALALEA ST, KAHUKU, HI 96731-2052
(808) 293-9221
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
DM527A
—
HI
Enumeration date
04/18/2018
Last updated
06/11/2019
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