| Hawaii Health Systems Corporation | |
|
2829 Ala Kalanikuamaka St Koloa HI 96756 | |
| (808) 742-0999 | |
| (808) 742-0990 |
| Full Name | Hawaii Health Systems Corporation |
|---|---|
| Speciality | Clinic/center |
| Location | 2829 Ala Kalanikuamaka St, Koloa, Hawaii |
| Authorized Official Name and Position | Lance K Segawa (REGIONAL CHIEF EXECUTIVE OFFICER) |
| Authorized Official Contact | 8083389431 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Health Systems Corporation Po Box 669 Waimea HI 96796-0669 Ph: (808) 338-9493 | Hawaii Health Systems Corporation 2829 Ala Kalanikuamaka St Koloa HI 96756 Ph: (808) 742-0999 |
| NPI Number | 1073085528 |
|---|---|
| Provider Enumeration Date | 12/21/2018 |
| Last Update Date | 12/21/2018 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1073085528 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | (* (Not Available)) | Primary |
Samuel Mahelona Memorial Hospital Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 2829 Ala Kalani Kaumaka St Ste B-201, Koloa, HI 96756 Phone: 808-742-0999 Fax: 808-742-0990 |