Organization
WAIKIKI HEALTH
Active
Parent organization
WAIKIKI HEALTH
Other names
Waikiki Health Care a Van
Organization subpart
Yes
Provider details
NPI number
Legal business name
WAIKIKI HEALTH
Authorized official
SHEILA BECKHAM RD, MPH (CHIEF EXECUTIVE OFFICER)
(808) 791-9302
Entity
Organization
Contact information
Practice address
3020 WAIALAE AVE, HONOLULU, HI 96816-1506
(808) 922-4790
(808) 922-4780
Mailing address
277 OHUA AVE, HONOLULU, HI 96815-6612
(808) 922-4787
(808) 922-6454
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
04701301
—
HI
Enumeration date
08/05/2008
Last updated
12/06/2013
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