| State Of Hawaii Department Of Health | |
|
53 S Puunene Ave Ste 105 Kahului HI 96732-2192 | |
| (808) 658-5765 | |
| (808) 984-2155 |
| Full Name | State Of Hawaii Department Of Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 53 S Puunene Ave Ste 105, Kahului, Hawaii |
| Authorized Official Name and Position | Troy Alan Freitas (PROGRAM HEALTH BRANCH MANAGER) |
| Authorized Official Contact | 8084786207 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Hawaii Department Of Health Po Box 3378 Honolulu HI 96801-3378 Ph: (808) 590-7320 | State Of Hawaii Department Of Health 53 S Puunene Ave Ste 105 Kahului HI 96732-2192 Ph: (808) 658-5765 |
| NPI Number | 1598501298 |
|---|---|
| Provider Enumeration Date | 07/02/2024 |
| Last Update Date | 07/02/2024 |
| Certification Date | 07/02/2024 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1598501298 | NPI | - | NPPES |
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