Provider Demographics
NPI:1023363207
Name:APS HEALTH CARE
Entity Type:Organization
Organization Name:APS HEALTH CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CARE COORDINATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:J
Authorized Official - Last Name:WEST
Authorized Official - Suffix:
Authorized Official - Credentials:BA
Authorized Official - Phone:808-298-3612
Mailing Address - Street 1:349 HANAKAI ST STE C
Mailing Address - Street 2:
Mailing Address - City:KAHULUI
Mailing Address - State:HI
Mailing Address - Zip Code:96732-3414
Mailing Address - Country:US
Mailing Address - Phone:808-268-5387
Mailing Address - Fax:
Practice Address - Street 1:349 HANAKAI ST STE C
Practice Address - Street 2:
Practice Address - City:KAHULUI
Practice Address - State:HI
Practice Address - Zip Code:96732-3414
Practice Address - Country:US
Practice Address - Phone:808-268-5387
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-13
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI302F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302F00000XManaged Care OrganizationsExclusive Provider Organization