Provider Demographics
NPI:1679800882
Name:KA HALE POMAIKA'I
Entity Type:Organization
Organization Name:KA HALE POMAIKA'I
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SHARI
Authorized Official - Middle Name:R
Authorized Official - Last Name:LYNN
Authorized Official - Suffix:
Authorized Official - Credentials:M ED, CCS, CSAC
Authorized Official - Phone:808-558-8480
Mailing Address - Street 1:PO BOX 1895
Mailing Address - Street 2:
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748-1895
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:HC-01 BOX 372 KAMEHAMEHA V HWY
Practice Address - Street 2:
Practice Address - City:UALAPU'E
Practice Address - State:HI
Practice Address - Zip Code:96748
Practice Address - Country:US
Practice Address - Phone:808-558-8480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-11-09
Last Update Date:2009-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health