Organization Name: | RAINBOW DIALYSIS LLC |
NPI Number: | 1619381399 |
Entity Type Code: | Organizational (2) |
Authorized Official Name: | MARY ANN BARNES (PRESIDENT KAISER PERMANENTE HAWAII) |
Mailing Address: | 305 Keawe St Ste 503 Lahaina |
State: | HI US |
Postal Code: | 967612734 |
Phone Number: | 8086618372 |
Fax Number: | 8086619484 |
NPI Enumeration Date: | 06/20/2014 |
NPI Last Update Date: | 01/20/2015 |
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: |