| Elizabeth J. Rago, Llc | |
|
56-331 Kekauoha St Kahuku HI 96731-2021 | |
| (808) 271-9011 | |
| Not Available |
| Full Name | Elizabeth J. Rago, Llc |
|---|---|
| Speciality | Social Worker |
| Location | 56-331 Kekauoha St, Kahuku, Hawaii |
| Authorized Official Name and Position | Elizabeth Rago (OWNER) |
| Authorized Official Contact | 8082719011 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Elizabeth J. Rago, Llc 56-331 Kekauoha St Kahuku HI 96731-2021 Ph: (808) 271-9011 | Elizabeth J. Rago, Llc 56-331 Kekauoha St Kahuku HI 96731-2021 Ph: (808) 271-9011 |
| NPI Number | 1750025474 |
|---|---|
| Provider Enumeration Date | 04/27/2022 |
| Last Update Date | 04/27/2022 |
| Certification Date | 04/27/2022 |
| Medicare PECOS PAC ID | 2062897077 |
|---|---|
| Medicare Enrollment ID | O20220912002226 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750025474 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Elizabeth Joanne Rago |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1699989228 PECOS PAC ID: 3971988981 Enrollment ID: I20220912002306 |
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