KAISER FOUNDATION HEALTH PLAN NPI 1972606473

NPI Information

NPI: 1972606473
Provider Name: KAISER FOUNDATION HEALTH PLAN

Doing Business As: KAISER MOANALUA CLINIC RADIOLOGY

Classification: Clinic/Center - 261QR0200X
Entity Type: Organization

Specialization: Radiology

Address:
3288 MOANALUA RD
RADIOLOGY DEPARTMENT
HONOLULU, HI
ZIP 96819
Phone: (808) 432-7341
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KAISER FOUNDATION HEALTH PLAN is a radiology clinic center in Honolulu, HI. KAISER FOUNDATION HEALTH PLAN NPI is 1972606473. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Moanalua Clinic Radiology.

The provider's business location address is:

3288 MOANALUA RD
RADIOLOGY DEPARTMENT
HONOLULU, HI
ZIP 96819-469
Phone: (808) 432-7341
Fax: (808) 432-7340

The provider's authorized official is Thomas J. Risse .
The authorized official title is Chief Financial Officer and has the following contact phone number (808) 432-5276.

The enumeration date for this NPI number is 9/7/2006 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	261QR0200X	Clinic/Center	Radiology	150623	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	H52387	MEDICARE PIN	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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