Mobile Medical Unit 1 | |
277 Ohua Ave Honolulu HI 96815-3695 | |
(808) 922-4787 | |
(808) 922-4950 |
Full Name | Mobile Medical Unit 1 |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 277 Ohua Ave, Honolulu, Hawaii |
Authorized Official Name and Position | James T Maruyama (COMPLIANCE OFFICER) |
Authorized Official Contact | 8085378418 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Mobile Medical Unit 1 277 Ohua Ave Honolulu HI 96815-3695 Ph: (808) 537-8418 | Mobile Medical Unit 1 277 Ohua Ave Honolulu HI 96815-3695 Ph: (808) 922-4787 |
NPI Number | 1043975568 |
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Provider Enumeration Date | 11/01/2021 |
Last Update Date | 12/22/2021 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043975568 | NPI | - | NPPES |
1FDXE45S08DA04101 | Other | HI | VEHICLE REGISTRATION NUMBER |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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