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NPI Code Detail

MEDICARE: WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED

MEDICARE: WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1261Q00000XClinic/Center
2261QU0200XUrgent Care Clinic/Center
3261QM0801XMental Health Clinic/Center (Including Community Mental Health Center)
4261QP2300XPrimary Care Clinic/Center
5261QF0050XNon-Surgical Family Planning Clinic/Center
6261QM1300XMulti-Specialty Clinic/Center
7261QF0400XFederally Qualified Health Center (FQHC)

General Provider Information

NPI Number : 1356416986
Entity Type Code : Organization
Provider Name (Legal Business Name) : WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED
Provider Business Mailing Address
First Line : 86-260 FARRINGTON HWY
Second Line :
City : WAIANAE
State : HI
Zip : 96792-3128
Country : US
Telephone Number : 808-697-3300
Fax Number : 808-697-3687
Provider Business Practice Location Address
First Line : 599 FARRINGTON HWY
Second Line : BLDG#1, UNIT 100
City : KAPOLEI
State : HI
Zip : 96707-2028
Country : US
Telephone Number : 808-697-3300
Fax Number : 808-697-3687
Authorized Official
Title or Position : CFO
Name : CINDY YEE
Credential :
Telephone Number : 808-697-3128
Provider Enumeration Date : 11/21/2006
Last Update Date : 01/09/2026

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