EAST HAWAII SOMATIC HEALING INC. NPI 1811402027

NPI Information

NPI: 1811402027
Provider Name: EAST HAWAII SOMATIC HEALING, INC.
Classification: Clinic/Center - 261QM0801X
Entity Type: Organization

Specialization: Mental Health (Including Community Mental Health Center)

CLIA Number: 12D2004639

Address:
101 AUPUNI ST STE 118
HILO, HI
ZIP 96720
Phone: (808) 961-9200
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EAST HAWAII SOMATIC HEALING, INC. is a mental health (including community mental health center) clinic center in Hilo, HI. EAST HAWAII SOMATIC HEALING, INC. NPI is 1811402027. The provider is registered as an organization entity type.

The provider's business location address is:

101 AUPUNI ST STE 118
HILO, HI
ZIP 96720-260
Phone: (808) 961-9200
Fax: (808) 961-9200

The provider's authorized official is Robert Eugene Blinn .
The authorized official title is President and has the following contact phone number (808) 498-5644.

The CLIA number assigned to this NPI record is 12D2004639 - rural health clinic with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 12/11/2017 and was last updated on 3/17/2018.

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	261QM0801X	Clinic/Center	Mental Health (Including Community Mental Health Center)			Yes

What is NPI?

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This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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