Organization
QUEEN'S NORTH HAWAII COMMUNITY HOSPITAL
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ERLYNN TABAC (BUSINESS SERVICES MANAGER)
(808) 881-4626
Entity
Organization
Contact information
Practice address
65-1267 KAWAIHAE RD, KAMUELA, HI 96743-7345
(808) 881-4745
Mailing address
67-1125 MAMALAHOA HWY, KAMUELA, HI 96743-8496
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
518607
—
HI
Enumeration date
06/08/2018
Last updated
03/23/2021
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