Organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Active
Parent organization
STATE OF HAWAII DEPARTMENT OF HEALTH
Other names
Koolauloa Clinic
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
54-010 KUKUNA ROAD, HAUULA, HI 96717
(808) 233-3775
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
05
—
53937214
—
HI
Enumeration date
12/13/2007
Last updated
06/18/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us