1700294519 NPI number — 'EKAHI URGENT CARE WAIPAHU LLC

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1700294519 NPI number — 'EKAHI URGENT CARE WAIPAHU LLC

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
'EKAHI URGENT CARE WAIPAHU LLC
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1700294519
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
02/03/2015
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
94-229 WAIPAHU DEPOT ST
Provider Second Line Business Mailing Address:
SUITE 101
Provider Business Mailing Address City Name:
WAIPAHU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96797-3031
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-380-2727
Provider Business Mailing Address Fax Number:
808-380-2718

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1585 KAPIOLANI BLVD
Provider Second Line Business Practice Location Address:
SUITE 1800
Provider Business Practice Location Address City Name:
HONOLULU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96814-4500
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-941-3363
Provider Business Practice Location Address Fax Number:
808-949-0483
Provider Enumeration Date:
07/24/2014

Additional Information

Authorized Official

Authorized Official Last Name:
HIRATA
Authorized Official First Name:
DEAN
Authorized Official Middle Name:
K
Authorized Official Title or Position:
MANAGER
Authorized Official Telephone Number:
808-948-9552

Provider Taxonomy Codes

  • Taxonomy code: 261QU0200X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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