NPI | 1952567380 |
---|---|
Other Name | WAIKIKI HEALTH CARE A VAN |
Entity Type | Organization |
Authorized Contact | SHEILA BECKHAM Chief Executive Officer 808-791-9302 |
Organization Subpart ? | Yes |
Primary Taxonomy | 261QF0400X Clinic/Center, Federally Qualified Health Center (FQHC) |
Enumeration Date | 2008-08-05 |
Last Update Date | 2013-12-06 |