| Mobile Medical Unit 1 | |
|
277 Ohua Ave Honolulu HI 96815-3695 | |
| (808) 922-4787 | |
| (808) 922-4950 |
| Full Name | Mobile Medical Unit 1 |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 277 Ohua Ave, Honolulu, Hawaii |
| Authorized Official Name and Position | James T Maruyama (COMPLIANCE OFFICER) |
| Authorized Official Contact | 8085378418 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Mobile Medical Unit 1 277 Ohua Ave Honolulu HI 96815-3695 Ph: (808) 537-8418 | Mobile Medical Unit 1 277 Ohua Ave Honolulu HI 96815-3695 Ph: (808) 922-4787 |
| NPI Number | 1043975568 |
|---|---|
| Provider Enumeration Date | 11/01/2021 |
| Last Update Date | 12/22/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1043975568 | NPI | - | NPPES |
| 1FDXE45S08DA04101 | Other | HI | VEHICLE REGISTRATION NUMBER |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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