Provider Demographics
NPI:1548389893
Name:STRAUB CLINIC & HOSPITAL
Entity Type:Organization
Organization Name:STRAUB CLINIC & HOSPITAL
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CFO, SR. VICE PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:DAVID
Authorized Official - Middle Name:
Authorized Official - Last Name:OKABE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-535-7202
Mailing Address - Street 1:1946 YOUNG ST
Mailing Address - Street 2:SUITE 320
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96826-2169
Mailing Address - Country:US
Mailing Address - Phone:808-973-7320
Mailing Address - Fax:808-973-7325
Practice Address - Street 1:STRAUB - KANEOHE FAMILY HEALTH CENTER
Practice Address - Street 2:46-056 KAMEHAMEHA HWY., SUITE G-1
Practice Address - City:KANEOHE
Practice Address - State:HI
Practice Address - Zip Code:96744
Practice Address - Country:US
Practice Address - Phone:808-233-6200
Practice Address - Fax:808-233-6255
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:STRAUB CLINIC & HOSPITAL
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2007-03-28
Last Update Date:2011-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI4462870004Medicare NSC