KAISER FOUNDATION HEALTH PLAN NPI 1093881641

NPI Information

NPI: 1093881641
Provider Name: KAISER FOUNDATION HEALTH PLAN

Doing Business As: KAISER PERMANENTE MAPUNAPUNA CLINIC AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

CLIA Number: 12D2065945

Address:
2828 PAA ST
HONOLULU, HI
ZIP 96819
Phone: (808) 432-5738
Get Directions

KAISER FOUNDATION HEALTH PLAN is an ambulatory surgical clinic center in Honolulu, HI. KAISER FOUNDATION HEALTH PLAN NPI is 1093881641. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Mapunapuna Clinic Ambulatory Surgery Center.

The provider's business location address is:

2828 PAA ST
HONOLULU, HI
ZIP 96819-430
Phone: (808) 432-5738
Fax: (808) 432-5730

The provider's authorized official is James G. Adams .
The authorized official title is Executive Director, Finance Leader and has the following contact phone number (808) 286-6758.

The CLIA number assigned to this NPI record is 12D2065945 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 11/27/2006 and was last updated on 11/10/2020.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	FSOF-8	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	588783	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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