Provider Demographics
NPI:1437689957
Name:KALIHI-PALAMA HEALTH CENTER
Entity Type:Organization
Organization Name:KALIHI-PALAMA HEALTH CENTER
Other - Org Name:KPHC PHARMACY III
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO, EXECUTIVE DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KINTU
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-848-1438
Mailing Address - Street 1:710 N KING ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4544
Mailing Address - Country:US
Mailing Address - Phone:808-843-7544
Mailing Address - Fax:
Practice Address - Street 1:710 N KING ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5769
Practice Address - Country:US
Practice Address - Phone:808-843-7544
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-18
Last Update Date:2017-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes3336C0002XSuppliersPharmacyClinic Pharmacy