Healthcare Provider Details

I. General information

NPI: 1316065360
Provider Name (Legal Business Name): SHRINERS HOSPITALS FOR CHILDREN
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 03/27/2007
Last Update Date: 02/07/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1310 PUNAHOU ST
HONOLULU HI
96826-1099
US

IV. Provider business mailing address

PO BOX 8500 LOCKBOX #7642
PHILADELPHIA PA
19178-7642
US

V. Phone/Fax

Practice location:
  • Phone: 808-941-4466
  • Fax: 808-942-8573
Mailing address:
  • Phone: 808-951-3606
  • Fax: 808-942-8573

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code282NC2000X
TaxonomyChildren's Hospital
License Number8-H
License Number StateHI

VIII. Authorized Official

Name: MR. JOHN R WHITE
Title or Position: ADMINISTRATOR
Credential: MHA
Phone: 808-951-3606