| Hawaii Homeless Healthcare Hui | |
|
350 Sumner St Honolulu HI 96817-5088 | |
| (808) 447-2924 | |
| Not Available |
| Full Name | Hawaii Homeless Healthcare Hui |
|---|---|
| Speciality | Clinic/Center |
| Location | 350 Sumner St, Honolulu, Hawaii |
| Authorized Official Name and Position | Andy Mounthongdy (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8086915309 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Homeless Healthcare Hui 1301 Punchbowl Street Clark Apt 406 Honolulu HI 96813 Ph: (808) 691-5309 | Hawaii Homeless Healthcare Hui 350 Sumner St Honolulu HI 96817-5088 Ph: (808) 447-2924 |
| NPI Number | 1568966489 |
|---|---|
| Provider Enumeration Date | 03/23/2018 |
| Last Update Date | 12/07/2018 |
| Medicare PECOS PAC ID | 2062765944 |
|---|---|
| Medicare Enrollment ID | O20181023000431 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1568966489 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
| 261QU0200X | Clinic/center - Urgent Care | (* (Not Available)) | Secondary |
| Provider Name | Landis W L Lum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730228842 PECOS PAC ID: 0446447858 Enrollment ID: I20101210001046 |
| Provider Name | Robin V Pacson |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1376911156 PECOS PAC ID: 5193034965 Enrollment ID: I20151016001919 |
| Provider Name | John Paul Moses |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1447737481 PECOS PAC ID: 0840536447 Enrollment ID: I20190117002201 |
| Provider Name | Katrina Lu |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1578000899 PECOS PAC ID: 0840575015 Enrollment ID: I20190402000651 |
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