Provider Demographics
NPI:1578185385
Name:HAWAII ISLAND HIV/AIDS FOUNDATION
Entity Type:Organization
Organization Name:HAWAII ISLAND HIV/AIDS FOUNDATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:PETER
Authorized Official - Middle Name:
Authorized Official - Last Name:SILVA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-982-8800
Mailing Address - Street 1:101 AUPUNI ST STE 1014C
Mailing Address - Street 2:
Mailing Address - City:HILO
Mailing Address - State:HI
Mailing Address - Zip Code:96720-4259
Mailing Address - Country:US
Mailing Address - Phone:808-982-8800
Mailing Address - Fax:808-982-8802
Practice Address - Street 1:101 AUPUNI ST STE 1014C
Practice Address - Street 2:
Practice Address - City:HILO
Practice Address - State:HI
Practice Address - Zip Code:96720-4259
Practice Address - Country:US
Practice Address - Phone:808-982-8800
Practice Address - Fax:808-982-8802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-14
Last Update Date:2020-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes363LC1500XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerCommunity HealthGroup - Single Specialty