Healthcare Provider Details

I. General information

NPI: 1528157435
Provider Name (Legal Business Name): LEAHI HOSPITAL
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/11/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3675 KILAUEA AVE
HONOLULU HI
96816-2333
US

IV. Provider business mailing address

3675 KILAUEA AVE
HONOLULU HI
96816-2333
US

V. Phone/Fax

Practice location:
  • Phone: 808-733-7932
  • Fax: 808-733-9806
Mailing address:
  • Phone: 808-733-7932
  • Fax: 808-733-9806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282N00000X
TaxonomyGeneral Acute Care Hospital
License Number7-H
License Number StateHI

VIII. Authorized Official

Name: MRS. LINDA L OKAMOTO
Title or Position: BUSINESS MANAGER
Credential:
Phone: 808-733-7932