Organization
THE WAHIAWA CENTER FOR COMMUNITY HEALTH
Active
Parent organization
THE WAHIAWA CENTER FOR COMMUNITY HEALTH
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE WAHIAWA CENTER FOR COMMUNITY HEALTH
Authorized official
NANCY ESTRANERO TALANA CMRS (BILLING MANAGER)
(808) 622-1618
Entity
Organization
Contact information
Practice address
302 CALIFORNIA AVE STE 106A, WAHIAWA, HI 96786-1841
(808) 622-1618
Mailing address
302 CALIFORNIA AVE STE 106A, WAHIAWA, HI 96786-1841
(808) 622-1618
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
819592
—
HI
Enumeration date
12/09/2021
Last updated
12/09/2021
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