Healthcare Provider Details

I. General information

NPI: 1417007550
Provider Name (Legal Business Name): KAISER FOUNDATION HOSPITALS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 04/28/2021
Certification Date: 04/28/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

501 ALAKAWA ST FL 2
HONOLULU HI
96817-5700
US

IV. Provider business mailing address

711 KAPIOLANI BLVD
HONOLULU HI
96813-5237
US

V. Phone/Fax

Practice location:
  • Phone: 808-432-4660
  • Fax: 808-432-4663
Mailing address:
  • Phone: 808-432-5276
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: DANIEL N. SHAW
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 808-432-5272