Organization Name: | ST. FRANCIS MEDICAL CENTER - KAHANA DIALYSIS |
NPI Number: | 1518020767 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | SISTER AGNELLE CHING (CEO) |
Mailing Address: | 10 Hoohui St Suite 100 Lahaina |
State: | HI US |
Postal Code: | 967619257 |
Phone Number: | 8085476000 |
Fax Number: | |
NPI Enumeration Date: | 12/19/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 261QE0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Ambulatory Health Care Facilities |
Taxonomy Classification: | Clinic/Center |
Taxonomy Specialization: | End-Stage Renal Disease (ESRD) Treatment |
Taxonomy Definition: |