| Hhsc - Kauai Region Clinics The Clinic At Port Allen | |
|
4353 Waialo Rd Eleele HI 96705 | |
| (808) 335-0579 | |
| (808) 335-0581 |
| Full Name | Hhsc - Kauai Region Clinics The Clinic At Port Allen |
|---|---|
| Speciality | Clinic/Center |
| Location | 4353 Waialo Rd, Eleele, Hawaii |
| Authorized Official Name and Position | Christine Marie Asato (REGIONAL CFO) |
| Authorized Official Contact | 8083389407 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hhsc - Kauai Region Clinics The Clinic At Port Allen Po Box 337 Waimea HI 96796-0337 Ph: (808) 338-9431 | Hhsc - Kauai Region Clinics The Clinic At Port Allen 4353 Waialo Rd Eleele HI 96705 Ph: (808) 335-0579 |
| NPI Number | 1528654555 |
|---|---|
| Provider Enumeration Date | 12/14/2020 |
| Last Update Date | 05/01/2024 |
| Medicare PECOS PAC ID | 1759271216 |
|---|---|
| Medicare Enrollment ID | O20210204001593 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528654555 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Secondary |
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Hawaii Health Systems Corporation Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 4353 Waialo Rd, Eleele, HI 96705 Phone: 808-335-0579 Fax: 808-335-0581 |