Provider Demographics
NPI:1598359168
Name:IHS THE INSTITUTE FOR HUMAN SERVICES INC
Entity Type:Organization
Organization Name:IHS THE INSTITUTE FOR HUMAN SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:CONNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:MITCHELL
Authorized Official - Suffix:
Authorized Official - Credentials:APRN
Authorized Official - Phone:808-447-2824
Mailing Address - Street 1:546 KAAAHI ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-4630
Mailing Address - Country:US
Mailing Address - Phone:808-447-2863
Mailing Address - Fax:808-841-3315
Practice Address - Street 1:546 KAAAHI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-4630
Practice Address - Country:US
Practice Address - Phone:808-447-2863
Practice Address - Fax:808-841-3315
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:IHS THE INSTITUTE FOR HUMAN SERVICES INC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QC1500XAmbulatory Health Care FacilitiesClinic/CenterCommunity Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI684995Medicaid