Healthcare Provider Details

I. General information

NPI: 1073617635
Provider Name (Legal Business Name): REHABILITATION HOSPITAL OF THE PACIFIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/12/2006
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 N KUAKINI ST
HONOLULU HI
96817-2421
US

IV. Provider business mailing address

226 N KUAKINI ST
HONOLULU HI
96817-2421
US

V. Phone/Fax

Practice location:
  • Phone: 808-531-3511
  • Fax: 808-544-3377
Mailing address:
  • Phone: 808-531-3511
  • Fax: 808-544-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3336I0012X
TaxonomyInstitutional Pharmacy
License NumberPHY-345
License Number StateHI

VIII. Authorized Official

Name: MS. SUE ANN MORIWAKI
Title or Position: VICE PRESIDENT OF FINANCE & CFO
Credential:
Phone: 808-566-3881