| Organization Name: | KAUAI COMMUNITY HEALTH ALLIANCE |
| NPI Number: | 1659531622 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | STEVE M ROGOFF (PARTNER) |
| Mailing Address: | 2460 Oka St 101-a Kilauea |
| State: | HI US |
| Postal Code: | 967545308 |
| Phone Number: | 8088282882 |
| Fax Number: | 8088280119 |
| NPI Enumeration Date: | 06/13/2008 |
| NPI Last Update Date: | 06/13/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | 11990 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |