KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES NPI 1689896953

NPI Information

NPI: 1689896953
Provider Name: KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES

Other Name: GULICK ELDER CENTER

Classification: Clinic/Center - 261QH0100X
Entity Type: Organization

Specialization: Health Service

Address:
1846 GULICK AVENUE
HONOLULU, HI
ZIP 96819
Phone: (808) 848-0977
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KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES is a health service clinic center in Honolulu, HI. KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES NPI is 1689896953. The provider is registered as an organization entity type.
The provider Other Name Is Gulick Elder Center.

The provider's business location address is:

1846 GULICK AVENUE
HONOLULU, HI
ZIP 96819
Phone: (808) 848-0977
Fax: (808) 848-8689

The provider's authorized official is David Derauf .
The authorized official title is Executive Director and has the following contact phone number (808) 791-9400.

The enumeration date for this NPI number is 5/3/2007 and was last updated on 11/25/2014.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QH0100X	Clinic/Center	Health Service	261QH100X	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	121838	OTHER	HAWAII	MEDICARE ID
2	00992101	MEDICAID	HAWAII
3	HKKVH	MEDICARE UPIN	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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