Organization
STRAUB CLINIC & HOSPITAL
Active
Other names
LANAI FAMILY HEALTH CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
JAMIE OTA (CONTRACT MANAGER)
(808) 535-7258
Entity
Organization
Contact information
Practice address
628 - B SEVENTH ST, LANAI CITY, HI 96763
(808) 565-6423
(808) 565-7480
Mailing address
PO BOX 631350, LANAI CITY, HI 96763
Taxonomy
Speciality
Code
Description
License number
State
332900000X
Non-Pharmacy Dispensing Site
Primary
EOO813
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1204433
OTHER ID NUMBER-COMMERCIAL NUMBER
—
Enumeration date
06/09/2006
Last updated
10/31/2008
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