Provider Demographics
NPI:1275891483
Name:UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES
Entity Type:Organization
Organization Name:UNIVERSITY CLINICAL EDUCATION & RESEARCH ASSOCIATES
Other - Org Name:HYPERBARIC TREATMENT CENTER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:AL
Authorized Official - Last Name:BLANCHETTE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:1808-469-4961
Mailing Address - Street 1:677 ALA MOANA BLVD
Mailing Address - Street 2:STE 1001
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5417
Mailing Address - Country:US
Mailing Address - Phone:808-469-4900
Mailing Address - Fax:808-536-9059
Practice Address - Street 1:347 N KUAKINI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-2336
Practice Address - Country:US
Practice Address - Phone:808-587-3425
Practice Address - Fax:808-587-3430
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-04-25
Last Update Date:2012-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI261QR0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QR0400XAmbulatory Health Care FacilitiesClinic/CenterRehabilitation