Alohi Clinic, Llc | |
94-229 Waipahu Depot St Ste 308 Waipahu HI 96797-3033 | |
(808) 582-8881 | |
Not Available |
Full Name | Alohi Clinic, Llc |
---|---|
Speciality | Clinic/Center |
Location | 94-229 Waipahu Depot St Ste 308, Waipahu, Hawaii |
Authorized Official Name and Position | Paul Coelho (OWNER) |
Authorized Official Contact | 8085828881 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Alohi Clinic, Llc 60 N Beretania St Apt 2003 Honolulu HI 96817-4759 Ph: (808) 780-8147 | Alohi Clinic, Llc 94-229 Waipahu Depot St Ste 308 Waipahu HI 96797-3033 Ph: (808) 582-8881 |
NPI Number | 1407540149 |
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Provider Enumeration Date | 06/06/2023 |
Last Update Date | 08/08/2023 |
Medicare PECOS PAC ID | 6608221759 |
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Medicare Enrollment ID | O20231010003789 |
Identifier | Type | State | Issuer |
---|---|---|---|
1407540149 | NPI | - | NPPES |
006216 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QP2300X | Clinic/center - Primary Care | (* (Not Available)) | Primary |
Provider Name | Paul Coelho |
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Provider Type | Practitioner - Certified Clinical Nurse Specialist (cns) |
Provider Identifiers | NPI Number: 1700396124 PECOS PAC ID: 2961761275 Enrollment ID: I20181017001205 |
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