Organization
ST. FRANCIS MEDICAL CENTER - HILO DIALYSIS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SISTER AGNELLE CHING (CEO)
(808) 547-6000
Entity
Organization
Contact information
Practice address
140 RAINBOW DR, HILO, HI 96720-2065
(808) 547-6000
Mailing address
PO BOX 29700, HONOLULU, HI 96820-2100
(808) 547-6000
Taxonomy
Speciality
Code
Description
License number
State
261QE0700X
End-Stage Renal Disease (ESRD) Treatment Clinic/Center
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
51891201
—
HI
Enumeration date
12/18/2006
Last updated
08/22/2020
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