| Integrated Health Hawaii | |
|
1357 Kapiolani Blvd Ste 1410 Honolulu HI 96814-4535 | |
| (808) 657-6473 | |
| (808) 930-9874 |
| Full Name | Integrated Health Hawaii |
|---|---|
| Speciality | Case Management |
| Location | 1357 Kapiolani Blvd Ste 1410, Honolulu, Hawaii |
| Authorized Official Name and Position | Gregg A. Shimomura (MEDICAL DIRECTOR) |
| Authorized Official Contact | 8089421852 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Integrated Health Hawaii 1357 Kapiolani Blvd Ste 1410 Honolulu HI 96814-4535 Ph: () - | Integrated Health Hawaii 1357 Kapiolani Blvd Ste 1410 Honolulu HI 96814-4535 Ph: (808) 657-6473 |
| NPI Number | 1124669031 |
|---|---|
| Provider Enumeration Date | 10/01/2019 |
| Last Update Date | 11/16/2022 |
| Certification Date | 11/16/2022 |
| Medicare PECOS PAC ID | 2668857871 |
|---|---|
| Medicare Enrollment ID | O20220923000485 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124669031 | NPI | - | NPPES |
| Provider Name | Tiffany Davis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1477924421 PECOS PAC ID: 8426335795 Enrollment ID: I20221007001402 |
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