1972630200 NPI number — ALICIA JAYNE SAMS

Table of content: ALICIA JAYNE SAMS (NPI 1972630200)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1972630200 NPI number — ALICIA JAYNE SAMS

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
SAMS
Provider First Name:
ALICIA
Provider Middle Name:
JAYNE
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:
F

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:
1972630200
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
3 3212 KUHIO HIGHWAY
Provider Second Line Business Mailing Address:
KAUAI COMMUNITY MENTAL HEALTH CENTER
Provider Business Mailing Address City Name:
LIHUE
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96766-1142
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-274-3190
Provider Business Mailing Address Fax Number:
808-274-3194

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
4 1751 KUHIO HIGHWAY
Provider Second Line Business Practice Location Address:
FRIENDSHIP HOUSE PSYCHO SOCIAL REHABILITATION PROGRAM
Provider Business Practice Location Address City Name:
KAPAA
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96746-2064
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-821-4480
Provider Business Practice Location Address Fax Number:
808-821-4483
Provider Enumeration Date:
02/27/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 104100000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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

  • Identifier: 53937202 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".




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