Healthcare Provider Details

I. General information

NPI: 1114036894
Provider Name (Legal Business Name): REHABILITATION HOSPITAL OF THE PACIFIC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/29/2006
Last Update Date: 06/29/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

221 PIIKEA AVE SUITE D
KIHEI HI
96753-8268
US

IV. Provider business mailing address

226 N KUAKINI ST
HONOLULU HI
96817-2421
US

V. Phone/Fax

Practice location:
  • Phone: 808-879-5211
  • Fax: 808-879-5213
Mailing address:
  • Phone: 808-531-3511
  • Fax: 808-544-3377

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QR0400X
TaxonomyRehabilitation Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. SUE ANN MORIWAKI
Title or Position: VICE PRESIDENT OF FINANCE & CFO
Credential:
Phone: 808-566-3818