| Castle Medical Center | |
|
55-510 Kamehameha Hwy Laie Suite 5 Laie HI 96762-1119 | |
| (808) 293-8558 | |
| Not Available |
| Full Name | Castle Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 55-510 Kamehameha Hwy Laie, Laie, Hawaii |
| Authorized Official Name and Position | Jeffrey Nye (CFO) |
| Authorized Official Contact | 8082635017 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Castle Medical Center 640 Ulukahiki St Kailua HI 96734-4454 Ph: () - | Castle Medical Center 55-510 Kamehameha Hwy Laie Suite 5 Laie HI 96762-1119 Ph: (808) 293-8558 |
| NPI Number | 1578948519 |
|---|---|
| Provider Enumeration Date | 07/20/2015 |
| Last Update Date | 09/30/2016 |
| Medicare PECOS PAC ID | 6608762778 |
|---|---|
| Medicare Enrollment ID | O20161001000012 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1578948519 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Leonie S Kubo |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1568954899 PECOS PAC ID: 7810240348 Enrollment ID: I20181030001283 |
Marc B. Shlachter, M.d., Inc. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55-510 Kamehameha Hwy, Laie, HI 96762 Phone: 808-293-8558 Fax: 808-293-2573 | |
Brigham Young University Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 55-220 Kulanui St, Byuh Box #1916, Laie, HI 96762 Phone: 808-293-3510 Fax: 808-293-3506 |