Organization
WAHIAWA GENERAL HOSPITAL
Active
Parent organization
WAHIAWA GENERAL HOSPITAL
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAHIAWA GENERAL HOSPITAL
Authorized official
MR. ROBERT D. OLDEN (CHIEF EXECUTIVE OFFICER)
(808) 621-8411
Entity
Organization
Contact information
Practice address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411
Mailing address
128 LEHUA ST, WAHIAWA, HI 96786-2036
(808) 621-8411
Taxonomy
Speciality
Code
Description
License number
State
313M00000X
Nursing Facility/Intermediate Care Facility
Primary
37-N
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0018
TRICARE SNF ID
HI
05
—
0049036801
—
HI
01
—
49036801
ALOHACARE
HI
Enumeration date
04/13/2006
Last updated
04/20/2008
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