| Compcare, LLC | |
|
94-997 Hanauna St 5f Waipahu HI 96797 | |
| (850) 694-9864 | |
| (850) 270-2452 |
| Full Name | Compcare, LLC |
|---|---|
| Speciality | Clinic/center - Primary Care |
| Location | 94-997 Hanauna St 5f, Waipahu, Hawaii |
| Authorized Official Name and Position | Oretha Diane Jones (OWNER/CEO/ARNP) |
| Authorized Official Contact | 8506949864 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Compcare, LLC 1130 Schwall Road Havana FL 32333 Ph: (850) 694-9864 | Compcare, LLC 94-997 Hanauna St 5f Waipahu HI 96797 Ph: (850) 694-9864 |
| NPI Number | 1891324471 |
|---|---|
| Provider Enumeration Date | 04/05/2020 |
| Last Update Date | 04/05/2020 |
| Certification Date | 04/05/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1891324471 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QP2300X | Clinic/center - Primary Care | () | Primary |
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