Healthcare Provider Details

I. General information

NPI: 1508183807
Provider Name (Legal Business Name): ST. FRANCIS HOSPITAL - EWA
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/26/2010
Last Update Date: 04/26/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

91-2141 FORT WEAVER RD
EWA BEACH HI
96706-1993
US

IV. Provider business mailing address

2226 LILIHA ST SUITE 227
HONOLULU HI
96817-1600
US

V. Phone/Fax

Practice location:
  • Phone: 808-547-8001
  • Fax: 808-547-8018
Mailing address:
  • Phone: 808-547-8001
  • Fax: 808-547-8018

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License NumberTO BE APPLIED FOR
License Number StateHI

VIII. Authorized Official

Name: JERRY CORREA
Title or Position: CHIEF ADMINISTRATOR
Credential:
Phone: 808-547-8004