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Organization

HAMAKUA HEALTH CENTER INC

Active
Parent organization
HAMAKUA HEALTH CENTER, INC.
Other names
Hamakua Kohala Health
Organization subpart
Yes

Provider details

NPI number
Legal business name
HAMAKUA HEALTH CENTER, INC.
Authorized official
IRENE J CARPENTER (CEO)
(808) 775-7204
Entity
Organization

Contact information

Practice address
45-549 PLUMERIA ST, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-9404
Mailing address
45-549 PLUMERIA ST, HONOKAA, HI 96727-6902
(808) 775-7204
(808) 775-9404

Taxonomy

Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121813
MEDICARE FQHC
HI
05
51864901
HI
Enumeration date
05/04/2011
Last updated
11/06/2018
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