Healthcare Provider Details

I. General information

NPI: 1194956839
Provider Name (Legal Business Name): WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/29/2009
Last Update Date: 11/21/2025
Certification Date: 11/21/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

858 SECOND ST
PEARL CITY HI
96782-3342
US

IV. Provider business mailing address

86-260 FARRINGTON HWY
WAIANAE HI
96792-3128
US

V. Phone/Fax

Practice location:
  • Phone: 808-697-3300
  • Fax: 808-697-3687
Mailing address:
  • Phone: 808-697-3300
  • Fax: 808-697-3687

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License NumberNA
License Number StateHI

VIII. Authorized Official

Name: CINDY YEE
Title or Position: CHIEF FINANCIAL OFFICER
Credential:
Phone: 808-697-3128