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66-214 Haleiwa Rd Haleiwa HI 96712-1510 | |
| (808) 293-9221 | |
| Not Available |
| Full Name | |
|---|---|
| Speciality | Family Medicine |
| 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 | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
56-117 Pualalea St Kahuku HI 96731-2052 Ph: (808) 293-9221 | 66-214 Haleiwa Rd Haleiwa HI 96712-1510 Ph: (808) 293-9221 |
| NPI Number | 1639666233 |
|---|---|
| Provider Enumeration Date | 04/18/2018 |
| Last Update Date | 06/11/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1639666233 | NPI | - | NPPES |
| DM527A | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Medicus, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59-073 Kahae Rd, Haleiwa, HI 96712 Phone: 808-282-3760 | |
Kahuku Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 66-214 Haleiwa Rd, Haleiwa, HI 96712 Phone: 808-293-9221 | |