MEDICARE: LEAHI HOSPITAL

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
1	282N00000X	General Acute Care Hospital	7-H	HI

General Provider Information

NPI Number	:	1528157435
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LEAHI HOSPITAL

Provider Business Mailing Address
First Line	:	3675 KILAUEA AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-2333
Country	:	US
Telephone Number	:	808-733-7932
Fax Number	:	808-733-9806

Provider Business Practice Location Address
First Line	:	3675 KILAUEA AVE
Second Line	:
City	:	HONOLULU
State	:	HI
Zip	:	96816-2333
Country	:	US
Telephone Number	:	808-733-7932
Fax Number	:	808-733-9806

Authorized Official
Title or Position	:	BUSINESS MANAGER
Name	:	MRS. LINDA L OKAMOTO
Credential	:
Telephone Number	:	808-733-7932

Provider Enumeration Date	:	10/11/2006
Last Update Date	:	08/22/2020

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Practice Fax:

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