CATHOLIC CHARITIES HAWAII - NPI NUMBER 1508134107

Summary

Provider Name: CATHOLIC CHARITIES HAWAII

NPI Number: 1508134107

Clasification: Voluntary or Charitable (251V00000X)

Address:
1822 KEEAUMOKU ST
HONOLULU, HI
ZIP 96822

Phone Number: (808) 527-4673



Detailed Information

CATHOLIC CHARITIES HAWAII is a voluntary or charitable in Honolulu, HI. The assigned NPI number for this provider is 1508134107 and is registered as an organization entity type.

The provider's business address is:

1822 KEEAUMOKU ST
HONOLULU, HI
ZIP 96822-001
Phone: (808) 527-4673

The provider's authorized official is Jerry Rauckhorst .
The authorized official title is President & Ceo and has the following contact phone number (808) 524-4673.

The enumeration date for this NPI number is 12/9/2011 and was last updated on 12/9/2011.

Map - Location of Practice

Taxonomy Codes

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 251V00000X Voluntary or Charitable Yes

NPI Record

No. Field Name Field Value
1 NPI 1508134107
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name CATHOLIC CHARITIES HAWAII
5 Provider First Line Business Practice Location Address 1822 KEEAUMOKU ST
6 Provider Business Practice Location Address City Name HONOLULU
7 Provider Business Practice Location Address State Name HI
8 Provider Business Practice Location Address Postal Code 968223001
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 8085274673
11 Provider Enumeration Date 12/9/2011
12 Last Update Date 12/9/2011
13 Authorized Official Last Name RAUCKHORST
14 Authorized Official First Name JERRY
15 Authorized Official Title or Position PRESIDENT & CEO
16 Authorized Official Telephone Number 8085244673
17 Healthcare Provider Taxonomy Code 1 251V00000X
18 Healthcare Provider Primary Taxonomy Switch 1 Y
19 Is Organization Subpart N
20 Authorized Official Name Prefix Text MR.

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This page was last updated on: 9/11/2014
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