Provider Demographics
NPI:1821609991
Name:ORN TOTAL HEALTH HAWAII- AILA OLAKINO
Entity Type:Organization
Organization Name:ORN TOTAL HEALTH HAWAII- AILA OLAKINO
Other - Org Name:ORN TOTAL HEALTH
Other - Org Type:Other Name
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JEANNIE
Authorized Official - Middle Name:
Authorized Official - Last Name:CLEMENT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:801-706-6726
Mailing Address - Street 1:PO BOX 28
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96745-0028
Mailing Address - Country:US
Mailing Address - Phone:801-706-6726
Mailing Address - Fax:
Practice Address - Street 1:75-5749 KALAWA ST STE 101
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-1873
Practice Address - Country:US
Practice Address - Phone:808-466-1155
Practice Address - Fax:808-466-1528
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-12
Last Update Date:2020-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center