Organization Name: | NAVAL HEALTH CLINIC HAWAII |
NPI Number: | 1205899879 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | TAYLOR BOWLES (DIRECTOR FOR RESOURCES) |
Mailing Address: | 480 Central Ave Pearl Harbor |
State: | HI US |
Postal Code: | 968604908 |
Phone Number: | 8084744192 |
Fax Number: | 8084715704 |
NPI Enumeration Date: | 04/06/2006 |
NPI Last Update Date: | 02/26/2008 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QM1100X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | Military/U.S. Coast Guard Outpatient |
Taxonomy Definition: | The Defense Health Program or U.S. Coast Guard funded |