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STATE OF HAWAII DEPARTMENT OF HEALTH NPI 1194908723


NPI Information

NPI: 1194908723
Provider Name: STATE OF HAWAII DEPARTMENT OF HEALTH

Doing Business As: DIAMOND HEAD COMMUNITY MENTAL HEALTH CENTER

Classification: Community/Behavioral Health - 251S00000X
Entity Type: Organization

CLIA Number: 12D0695909

Address:
3627 KILAUEA AVE
SUITE 411
HONOLULU, HI
ZIP 96816
Phone: (808) 733-9260
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STATE OF HAWAII DEPARTMENT OF HEALTH is a community behavioral health in Honolulu, HI. The provider is a private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment. STATE OF HAWAII DEPARTMENT OF HEALTH NPI is 1194908723. The provider is registered as an organization entity type.
The provider Is Doing Business As Diamond Head Community Mental Health Center.

The provider's business location address is:

3627 KILAUEA AVE
SUITE 411
HONOLULU, HI
ZIP 96816-317
Phone: (808) 733-9260

The provider's authorized official is Raquel B. Nakahara .
The authorized official title is Financial Resource Specialist and has the following contact phone number (808) 590-7320.

The CLIA number assigned to this NPI record is 12D0695909 - community clinic with a certificate type of Certificate of Compliance.

The enumeration date for this NPI number is 12/5/2007 and was last updated on 6/18/2014.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1251S00000XCommunity/Behavioral HealthYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
153937209MEDICAIDHAWAII
2HDHCMHMEDICARE PINHAWAII

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.