Organization · Type 2 NPI

Kaiser Foundation Health Plan, Inc.

Rural Health Clinic/Center · Hilo, HI

NPI number 1730643933 Active

Practice location

1292 Waianuenue Ave
Hilo, HI 96720-1228

Call (808) 934-4000 Map

Mailing address

711 Kapiolani Blvd
Honolulu, HI 96813-5237

Specialties and licenses

Taxonomy	Code	License
Rural Health Clinic/Center Primary	261QR1300X	None listed

Rural Health Clinic/Center: Definition to come...

33 other providers at this address

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NPI record

NPI: 1730643933
Entity type: Organization (Type 2)
Issued: Jan 22, 2019
Last updated: Feb 1, 2024
Status: Active
Subpart: Yes of Kaiser Foundation Health Plan, Inc.

Other names

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Kaiser Permanente Hawaii Hilo Clinic · doing business as
Kaiser Permanente Hawaii Hilo Clinic · doing business as

Authorized official

James G. Adams
Executive Director, Finance Leader
(808) 286-6758

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1730643933

Kaiser Foundation Health Plan, Inc.'s National Provider Identifier is 1730643933, issued on Jan 22, 2019. The primary taxonomy on file is Rural Health Clinic/Center (261QR1300X), and the practice location is in Hilo, HI. The record was last updated on Feb 1, 2024.