| NPI | 1679045124 |
|---|---|
| Doing Business As | HHSC-KAUAI REGION CLINICS THE CLINIC AT KALAHEO |
| Entity Type | Organization |
| Authorized Contact | LANCE K SEGAWA Regional Chief Executive Officer 808-338-9431 |
| Organization Subpart ? | Yes |
| Primary Taxonomy | 261Q00000X |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2018-12-21 |