| State Of Hawaii Department Of Health | |
|
219 B Kaaliki Road Naalehu HI 96772 | |
| (808) 322-4818 | |
| (808) 322-4817 |
| Full Name | State Of Hawaii Department Of Health |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 219 B Kaaliki Road, Naalehu, Hawaii |
| Authorized Official Name and Position | Raquel B. Nakahara (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Contact | 8085907320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| State Of Hawaii Department Of Health 1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 Ph: (808) 590-7320 | State Of Hawaii Department Of Health 219 B Kaaliki Road Naalehu HI 96772 Ph: (808) 322-4818 |
| NPI Number | 1174706063 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 06/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174706063 | NPI | - | NPPES |
| 53937216 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |