| Organization Name: | WAIMANALO HEALTH CENTER |
| NPI Number: | 1780738005 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MAY M AKAMINE (EXECUTIVE DIRECTOR) |
| Mailing Address: | 41-1347 Kalanianaole Hwy Waimanalo |
| State: | HI US |
| Postal Code: | 967951247 |
| Phone Number: | 8089547107 |
| Fax Number: | 8082596449 |
| NPI Enumeration Date: | 01/23/2007 |
| NPI Last Update Date: | 10/17/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1500X |
| License Number: | W20416724-01 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | HI |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Community Health |
| Taxonomy Definition: | |