KAISER FOUNDATION HEALTH PLAN INC. NPI 1821164476

NPI Information

NPI: 1821164476
Provider Name: KAISER FOUNDATION HEALTH PLAN, INC.

Doing Business As: KAISER PERMANENTE WAILUKU AMBULATORY SURGERY CENTER

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
80 MAHALANI ST
WAILUKU, HI
ZIP 96793
Phone: (808) 243-6000
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KAISER FOUNDATION HEALTH PLAN, INC. is an ambulatory surgical clinic center in Wailuku, HI. KAISER FOUNDATION HEALTH PLAN, INC. NPI is 1821164476. The provider is registered as an organization entity type.
The provider Is Doing Business As Kaiser Permanente Wailuku Ambulatory Surgery Center.

The provider's business location address is:

80 MAHALANI ST
WAILUKU, HI
ZIP 96793-531
Phone: (808) 243-6000
Fax: (808) 243-6627

The provider's authorized official is James G. Adam .
The authorized official title is Executive Director, Finance Leader and has the following contact phone number (808) 286-6758.

The CLIA number assigned to this NPI record is 12D2172417 - health main. organization with a certificate type of Certificate for Provider-Performed Microscopy Procedures (PPMP).

The enumeration date for this NPI number is 11/27/2006 and was last updated on 11/10/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical	HMF FSOF-10	HAWAII	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	579451	MEDICAID	HAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

NPI Synchronization or Removal

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