Healthcare Provider Details

I. General information

NPI: 1992728828
Provider Name (Legal Business Name): HANA HEALTH
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/25/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4590 HANA HIGHWAY
HANA HI
96713-0807
US

IV. Provider business mailing address

PO BOX 807
HANA HI
96713-0807
US

V. Phone/Fax

Practice location:
  • Phone: 808-248-7515
  • Fax: 808-248-7223
Mailing address:
  • Phone: 808-248-7515
  • Fax: 808-248-7223

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Q00000X
TaxonomyFamily Medicine Physician
License Number
License Number State

VIII. Authorized Official

Name: TERRI SIGNAIGO
Title or Position: PRACTICE MANAGER
Credential:
Phone: 808-248-7515