MARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC NPI 1386944437

NPI Information

NPI: 1386944437
Provider Name: MARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC
Classification: Clinic/Center - 261QM2500X
Entity Type: Organization

Specialization: Medical Specialty

Address:
94-866 MOLOALO ST STE 1B
WAIPAHU, HI
ZIP 96797
Phone: (808) 677-5832
Get Directions

MARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC is a medical specialty clinic center in Waipahu, HI. The provider is an entity, facility, or distinct part of a facility providing diagnostic, treatment, and prescriptive services related to a specific area of medical specialization. Frequently used for Title V related Children's Specialty services or to meet specific public health needs (e.g., infectious diseases or breast and cervical cancer). MARIA CARIDAD ILAR-REVILLA COMMUNITY HEALTH CLINIC LLC NPI is 1386944437. The provider is registered as an organization entity type.

The provider's business location address is:

94-866 MOLOALO ST STE 1B
WAIPAHU, HI
ZIP 96797-354
Phone: (808) 677-5832
Fax: (808) 671-9109

The provider's authorized official is Maria Caridad Ilar-revilla .
The authorized official title is Owner and has the following contact phone number (808) 677-5832.

The enumeration date for this NPI number is 10/22/2010 and was last updated on 10/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QM2500X	Clinic/Center	Medical Specialty	9394	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	078033-01	MEDICAID	HAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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