Provider Demographics
NPI:1922281351
Name:HAWAII MEDICAL CENTER WEST, LLC
Entity Type:Organization
Organization Name:HAWAII MEDICAL CENTER WEST, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:DANELO
Authorized Official - Middle Name:
Authorized Official - Last Name:CANETE
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:808-547-6000
Mailing Address - Street 1:PO BOX 29759
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96820-2159
Mailing Address - Country:US
Mailing Address - Phone:808-678-7000
Mailing Address - Fax:808-678-7486
Practice Address - Street 1:91-2141 FORT WEAVER RD
Practice Address - Street 2:
Practice Address - City:EWA BEACH
Practice Address - State:HI
Practice Address - Zip Code:96706-1993
Practice Address - Country:US
Practice Address - Phone:808-678-7000
Practice Address - Fax:808-678-7486
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-12-07
Last Update Date:2007-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332BP3500XSuppliersDurable Medical Equipment & Medical SuppliesParenteral & Enteral Nutrition
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI6005070001Medicare NSC