Provider Demographics
NPI:1942359468
Name:OLA HOU CLINIC
Entity Type:Organization
Organization Name:OLA HOU CLINIC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINIC DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:GEORGE
Authorized Official - Middle Name:F
Authorized Official - Last Name:RHOADES
Authorized Official - Suffix:JR
Authorized Official - Credentials:PHD
Authorized Official - Phone:808-487-5433
Mailing Address - Street 1:98-1247 KAAHUMANU ST
Mailing Address - Street 2:SUITE #223
Mailing Address - City:AIEA
Mailing Address - State:HI
Mailing Address - Zip Code:96701-5310
Mailing Address - Country:US
Mailing Address - Phone:808-487-5433
Mailing Address - Fax:808-487-5444
Practice Address - Street 1:98-1247 KAAHUMANU ST
Practice Address - Street 2:SUITE #223
Practice Address - City:AIEA
Practice Address - State:HI
Practice Address - Zip Code:96701-5310
Practice Address - Country:US
Practice Address - Phone:808-487-5433
Practice Address - Fax:808-487-5444
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-10
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103TC0700XBehavioral Health & Social Service ProvidersPsychologistClinicalGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI01275901Medicaid
HI2440-6OtherMRB, HMSA
HIPSY369OtherBRESSEM, STATE LICENSE
HI0000003834OtherMJK, ALOHACARE
HI20472-7OtherMJK, HMSA
R18108OtherBRESSEM, KAISER ADDED CHO
HIPSY281OtherG F RHOADES,STATE LICENSE
HIS18722OtherMJK, KAISER ADDED CHOICE
HIA006OtherBRESSEM, TRICARE
HI00579013Medicaid
HI02205402Medicaid
HI1348-2OtherGFR, HMSA
HIA004OtherG F RHOADES, JR.
HIA101OtherMJK, TRICARE
HIPSY566OtherMJK, STATE LICENSE
HIR17875OtherGFR, KAISER ADDED CHOICE
HIR17875OtherGFR, KAISER ADDED CHOICE
HIA004OtherG F RHOADES, JR.
HI0000TCBGPMedicare ID - Type UnspecifiedG F RHOADES, JR.,PHD