WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD INCORPORATED NPI 1093880627

NPI Information

NPI: 1093880627
Provider Name: WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED

Doing Business As: JAMES & ABIGAIL CAMPBELL CLINIC

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
89-102 FARRINGTON HWY UNIT 3000
WAIANAE, HI
ZIP 96792
Phone: (808) 697-3900
Get Directions

WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED is a federally qualified health center (fqhc) clinic center in Waianae, HI. WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED NPI is 1093880627. The provider is registered as an organization entity type.
The provider Is Doing Business As James & Abigail Campbell Clinic.

The provider's business location address is:

89-102 FARRINGTON HWY UNIT 3000
WAIANAE, HI
ZIP 96792-160
Phone: (808) 697-3900
Fax: (808) 697-3930

The provider's authorized official is James Z Chen .
The authorized official title is Cfo and has the following contact phone number (808) 696-7081.

The CLIA number assigned to this NPI record is 12D1063980 - community clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/21/2006 and was last updated on 3/12/2021.

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	Primary
1	261Q00000X	Clinic/Center		No
2	261QF0050X	Clinic/Center	Family Planning, Non-Surgical	No
3	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
4	261QM1300X	Clinic/Center	Multi-Specialty	No
5	261QP2300X	Clinic/Center	Primary Care	No
6	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	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	00934901	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: 4/28/2024

NPI Synchronization or Removal

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