Organization
KAISER FOUNDATION HEALTH PLAN, INC.
Active
Other names
Kaiser Permanente Wailuku Ambulatory Surgery Center
Organization subpart
No
Provider details
NPI number
Authorized official
JAMES G. ADAM JR. (EXECUTIVE DIRECTOR, FINANCE LEADER)
(808) 286-6758
Entity
Organization
Contact information
Practice address
80 MAHALANI ST, WAILUKU, HI 96793-2531
(808) 243-6000
(808) 243-6627
Mailing address
711 KAPIOLANI BLVD, BILLING DEPARTMENT, HONOLULU, HI 96813-5214
(808) 432-5312
(808) 432-5239
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
HMF FSOF-10
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
579451
—
HI
Enumeration date
11/27/2006
Last updated
11/10/2020
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