KAU HOSPITAL NPI 1164083374

NPI Information

KAU HOSPITAL is a rural health clinic center in Hilo, HI. KAU HOSPITAL NPI is 1164083374. The provider is registered as an organization entity type.
The provider Is Doing Business As East Hawaii Health Clinic At Puuhonu Way.

The provider's business location address is:

1285 WAIANUENUE AVE
HILO, HI
ZIP 96720-209
Phone: (808) 932-3940
Fax: (808) 933-0011

The provider's authorized official is Lauri Elizabeth Redus .
The authorized official title is Regional Rhc Administrator and has the following contact phone number (808) 932-3801.

The CLIA number assigned to this NPI record is 12D2170987 - rural health clinic with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 6/27/2019 and was last updated on 8/14/2020.

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:

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