| Safe Haven Hchp | |
|
41 S Beretania St Honolulu HI 96813-2220 | |
| (808) 599-4028 | |
| (808) 521-4394 |
| Full Name | Safe Haven Hchp |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 41 S Beretania St, Honolulu, Hawaii |
| Authorized Official Name and Position | Victoria K Lancaster (PATIENT ACCOUNTING MANAGER) |
| Authorized Official Contact | 8088437239 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Safe Haven Hchp 915 N King St Honolulu HI 96817-4544 Ph: (808) 843-7239 | Safe Haven Hchp 41 S Beretania St Honolulu HI 96813-2220 Ph: (808) 599-4028 |
| NPI Number | 1326068800 |
|---|---|
| Provider Enumeration Date | 07/20/2006 |
| Last Update Date | 08/22/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1326068800 | NPI | - | NPPES |
| 51863102 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | W20300018-01 (Hawaii) | Primary |
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