| Hawaii Health Systems Corporation | |
|
4353 Waialo Rd Eleele HI 96705 | |
| (808) 335-0579 | |
| (808) 335-0581 |
| Full Name | Hawaii Health Systems Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 4353 Waialo Rd, Eleele, Hawaii |
| Authorized Official Name and Position | Lance K Segawa (REGIONAL CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8083389431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Health Systems Corporation Po Box 669 Waimea HI 96796-0669 Ph: (808) 338-9493 | Hawaii Health Systems Corporation 4353 Waialo Rd Eleele HI 96705 Ph: (808) 335-0579 |
| NPI Number | 1366916868 |
|---|---|
| Provider Enumeration Date | 01/17/2019 |
| Last Update Date | 01/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366916868 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Hhsc - Kauai Region Clinics The Clinic At Port Allen Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 4353 Waialo Rd, Eleele, HI 96705 Phone: 808-335-0579 Fax: 808-335-0581 |