| Lanai Community Health Center | |
|
333 Sixth Street Lanai City HI 96763-0142 | |
| (808) 565-6919 | |
| (808) 565-9111 |
| Full Name | Lanai Community Health Center |
|---|---|
| Speciality | Clinic/center - Community Health |
| Location | 333 Sixth Street, Lanai City, Hawaii |
| Authorized Official Name and Position | Diana Shaw (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8085656919 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Lanai Community Health Center 333 Sixth Street Po Box 630142 Lanai City HI 96763-0142 Ph: (808) 565-6919 | Lanai Community Health Center 333 Sixth Street Lanai City HI 96763-0142 Ph: (808) 565-6919 |
| NPI Number | 1316317100 |
|---|---|
| Provider Enumeration Date | 10/06/2015 |
| Last Update Date | 10/06/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316317100 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QC1500X | Clinic/center - Community Health | (* (Not Available)) | Primary |
Lanai Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 333 Sixth St, Lanai City, HI 96763 Phone: 808-565-6919 |