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General NPI Number Information
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NPI Number | 1679493274
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Entity Type | Organization
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Legal Business Name | SOUTH HAWAI'I HEALTHCARE INSTITUTE
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Dates
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Enumeration Date | 07/16/2026
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Last Update Date | 07/16/2026
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Provider Practice Location Address
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Address Line | 276 WAIANUENUE AVE
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City | HILO
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State | HI
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Zip | 96720-2446
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Country | US
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Telephone | 808-785-4313
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Fax |
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Provider Business Mailing Address
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Address Line | 276 WAIANUENUE AVE
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City | HILO
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State | HI
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Zip | 96720-2446
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Country | US
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Telephone | 808-785-4313
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Fax |
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Authorized Official
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Title or Position | EXECUTIVE DIRECTOR
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Name | MS. YURI DEFOREST
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Credential |
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Telephone | 808-785-4313
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QR1300X
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Taxonomy Name | Rural Health Clinic/Center
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License Number |
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License Number State |
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