| NPI | 1164597795 |
|---|---|
| Doing Business As | WAIOLA CLINIC |
| Entity Type | Organization |
| Authorized Contact | JAMES Z CHEN CFO 808-697-3300 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
| Additional Taxonomies | 261QP2300X Clinic/Center, Primary Care |
| 261Q00000X | |
| 261QF0050X Clinic/Center, Family Planning, Non-Surgical | |
| 261QM0801X | |
| 261QM1300X Clinic/Center, Multi-Specialty | |
| 261QU0200X Clinic/Center, Urgent Care | |
| Enumeration Date | 2006-11-21 |
| Last Update Date | 2021-05-12 |