| Full Name | Koolauloa Clinic |
|---|---|
| Speciality | Community/behavioral Health |
| Location | 54-010 Kukuna Road, Hauula, Hawaii |
| Authorized Official Name and Position | Raquel B. Nakahara (FINANCIAL RESOURCE SPECIALIST) |
| Authorized Official Contact | 8085907320 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Koolauloa Clinic 1250 Punchbowl St Rm 256 Honolulu HI 96813-2416 Ph: (808) 590-7320 | Koolauloa Clinic 54-010 Kukuna Road Hauula HI 96717 Ph: (808) 233-3775 |
| NPI Number | 1679756563 |
|---|---|
| Provider Enumeration Date | 12/13/2007 |
| Last Update Date | 06/18/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679756563 | NPI | - | NPPES |
| 53937214 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 251S00000X | Community/behavioral Health | (* (Not Available)) | Primary |
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› Verified 7 days ago
Dept. Of Health-hawaii-child And Adolescent Mental Health Division Mental Health Clinic Medicare: Not Enrolled in Medicare Practice Location: 54-010 Kukuna St, Oahu Central-fgc-hauula, Hauula, HI 96717 Phone: 808-293-8993 |