WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD INC NPI 1366942831

NPI Information

NPI: 1366942831
Provider Name: WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

CLIA Number: 12D2163498

Address:
91-1841 FORT WEAVER RD
EWA BEACH, HI
ZIP 96706
Phone: (808) 697-3300
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WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC is a federally qualified health center (fqhc) clinic center in Ewa Beach, HI. WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC NPI is 1366942831. The provider is registered as an organization entity type.

The provider's business location address is:

91-1841 FORT WEAVER RD
EWA BEACH, HI
ZIP 96706-909
Phone: (808) 697-3300

The provider's authorized official is James Chen .
The authorized official title is Chief Financial Officer and has the following contact phone number (808) 697-3300.

The CLIA number assigned to this NPI record is 12D2163498 - school/student health service with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/20/2018 and was last updated on 5/12/2021.

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	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)	Yes
2	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)	No
3	261QM0855X	Clinic/Center	Adolescent and Children Mental Health	No

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: 5/5/2024

NPI Synchronization or Removal

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