| Kahuku Medical Center | |
|
66-214 Haleiwa Rd Haleiwa HI 96712-1510 | |
| (808) 293-9221 | |
| Not Available |
| Full Name | Kahuku Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 66-214 Haleiwa Rd, Haleiwa, Hawaii |
| Authorized Official Name and Position | Rachel Ann Cristobal (DIRECTOR OF REVENUE CYCLE) |
| Authorized Official Contact | 8082936269 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kahuku Medical Center 56-117 Pualalea St Kahuku HI 96731-2052 Ph: (808) 293-9221 | Kahuku Medical Center 66-214 Haleiwa Rd Haleiwa HI 96712-1510 Ph: (808) 293-9221 |
| NPI Number | 1720691926 |
|---|---|
| Provider Enumeration Date | 08/26/2020 |
| Last Update Date | 08/26/2020 |
| Medicare PECOS PAC ID | 1557446697 |
|---|---|
| Medicare Enrollment ID | O20201012002635 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720691926 | NPI | - | NPPES |
| 620212 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
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