Healthcare Provider Details

I. General information

NPI: 1407801467
Provider Name (Legal Business Name): KAPIOLANI MEDICAL CENTER FOR WOMEN AND CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/24/2006
Last Update Date: 09/17/2008
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1441 KAPIOLANI BLVD SUITE 1800
HONOLULU HI
96814-4401
US

IV. Provider business mailing address

1441 KAPIOLANI BLVD SUITE 1800
HONOLULU HI
96814-4401
US

V. Phone/Fax

Practice location:
  • Phone: 808-973-3403
  • Fax: 808-973-3401
Mailing address:
  • Phone: 808-973-3403
  • Fax: 808-973-3401

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code281PC2000X
TaxonomyChildren's Chronic Disease Hospital
License NumberRN-42194
License Number StateHI
# 2
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License NumberRN-42194
License Number StateHI
# 3
Primary TaxonomyN
Taxonomy Code2865M2000X
TaxonomyMilitary General Acute Care Hospital
License NumberRN-42194
License Number StateHI

VIII. Authorized Official

Name: JANET BRUMBLAY
Title or Position: GENETIC/METABOLIC NURSE
Credential: MS, RN
Phone: 808-973-3403