Waikiki Health Path Clinic | |
845 22nd Ave Honolulu HI 96816-4521 | |
(808) 791-9390 | |
Not Available |
Full Name | Waikiki Health Path Clinic |
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Speciality | Clinic/Center |
Location | 845 22nd Ave, Honolulu, Hawaii |
Authorized Official Name and Position | Sheila Beckham (CHIEF EXECUTIVE OFFICER) |
Authorized Official Contact | 8087919302 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Waikiki Health Path Clinic 277 Ohua Ave Honolulu HI 96815-6612 Ph: (808) 922-4787 | Waikiki Health Path Clinic 845 22nd Ave Honolulu HI 96816-4521 Ph: (808) 791-9390 |
NPI Number | 1528359791 |
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Provider Enumeration Date | 04/22/2011 |
Last Update Date | 12/06/2013 |
Medicare PECOS PAC ID | 9335058536 |
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Medicare Enrollment ID | O20120726000671 |
Identifier | Type | State | Issuer |
---|---|---|---|
1528359791 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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