Provider Demographics
NPI:1073867867
Name:ISLAND INTEGRATED HEALTH LLC
Entity Type:Organization
Organization Name:ISLAND INTEGRATED HEALTH LLC
Other - Org Name:IIH
Other - Org Type:Other Name
Authorized Official - Title/Position:COO, CFO
Authorized Official - Prefix:
Authorized Official - First Name:CRISTIANE
Authorized Official - Middle Name:
Authorized Official - Last Name:CALEFFI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-258-7271
Mailing Address - Street 1:PO BOX 37962
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96837-0962
Mailing Address - Country:US
Mailing Address - Phone:808-258-7271
Mailing Address - Fax:
Practice Address - Street 1:1600 KAPIOLANI BLVD STE 1311
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-3876
Practice Address - Country:US
Practice Address - Phone:808-220-8185
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-11-01
Last Update Date:2018-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health