Provider Demographics
NPI:1679045124
Name:HAWAII HEALTH SYSTEMS CORPORATION
Entity Type:Organization
Organization Name:HAWAII HEALTH SYSTEMS CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGIONAL CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:LANCE
Authorized Official - Middle Name:K
Authorized Official - Last Name:SEGAWA
Authorized Official - Suffix:
Authorized Official - Credentials:CEO
Authorized Official - Phone:808-338-9431
Mailing Address - Street 1:PO BOX 669
Mailing Address - Street 2:
Mailing Address - City:WAIMEA
Mailing Address - State:HI
Mailing Address - Zip Code:96796-0669
Mailing Address - Country:US
Mailing Address - Phone:808-338-9493
Mailing Address - Fax:808-338-0225
Practice Address - Street 1:4489 PAPALINA RD
Practice Address - Street 2:
Practice Address - City:KALAHEO
Practice Address - State:HI
Practice Address - Zip Code:96741
Practice Address - Country:US
Practice Address - Phone:808-332-8523
Practice Address - Fax:808-332-7050
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAWAII HEALTH SYSTEMS CORPORATION
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-12-21
Last Update Date:2018-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center