Provider Demographics
NPI:1568966489
Name:HAWAII HOMELESS HEALTHCARE HUI
Entity Type:Organization
Organization Name:HAWAII HOMELESS HEALTHCARE HUI
Other - Org Name:HAWAII HOMELESS HEALTHCARE HUI
Other - Org Type:Doing Business As
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ANDY
Authorized Official - Middle Name:
Authorized Official - Last Name:MOUNTHONGDY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-691-5309
Mailing Address - Street 1:1301 PUNCHBOWL STREET
Mailing Address - Street 2:CLARK APT 406
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813
Mailing Address - Country:US
Mailing Address - Phone:808-691-5309
Mailing Address - Fax:
Practice Address - Street 1:350 SUMNER ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5088
Practice Address - Country:US
Practice Address - Phone:808-447-2924
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-23
Last Update Date:2018-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No261QU0200XAmbulatory Health Care FacilitiesClinic/CenterUrgent Care