| Kphc Downtown | |
|
89-91 S. King Street Honolulu HI 96813 | |
| (808) 792-5566 | |
| (808) 792-5577 |
| Full Name | Kphc Downtown |
|---|---|
| Speciality | Clinic/Center |
| Location | 89-91 S. King Street, Honolulu, Hawaii |
| Authorized Official Name and Position | Monique Vanderaa (CFO) |
| Authorized Official Contact | 8088437238 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kphc Downtown 915 N King St Honolulu HI 96817-4544 Ph: (808) 848-1438 | Kphc Downtown 89-91 S. King Street Honolulu HI 96813 Ph: (808) 792-5566 |
| NPI Number | 1669644068 |
|---|---|
| Provider Enumeration Date | 03/26/2008 |
| Last Update Date | 03/26/2008 |
| Medicare PECOS PAC ID | 4284544842 |
|---|---|
| Medicare Enrollment ID | O20071221000565 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1669644068 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | W20300018-01 (Hawaii) | Primary |
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