Provider Demographics
NPI:1225620321
Name:ALII HEALTH CENTER
Entity Type:Organization
Organization Name:ALII HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY-ANN
Authorized Official - Middle Name:LEINANI
Authorized Official - Last Name:CATARAHA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-747-8321
Mailing Address - Street 1:78-6831 ALII DR STE 418
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-5403
Mailing Address - Country:US
Mailing Address - Phone:808-747-8321
Mailing Address - Fax:
Practice Address - Street 1:78-6831 ALII DR STE 328
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-4408
Practice Address - Country:US
Practice Address - Phone:808-747-8321
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-09
Last Update Date:2021-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208800000XAllopathic & Osteopathic PhysiciansUrologyGroup - Multi-Specialty