Provider Demographics
NPI:1669605598
Name:HALE HO'OKUPA'A
Entity type:Organization
Organization Name:HALE HO'OKUPA'A
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:CATHERINE
Authorized Official - Middle Name:
Authorized Official - Last Name:INOUYE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-553-3231
Mailing Address - Street 1:PO BOX 1812
Mailing Address - Street 2:
Mailing Address - City:KAUNAKAKAI
Mailing Address - State:HI
Mailing Address - Zip Code:96748-1812
Mailing Address - Country:US
Mailing Address - Phone:808-553-3231
Mailing Address - Fax:808-553-5474
Practice Address - Street 1:450 ALA MALAMA AVENUE
Practice Address - Street 2:
Practice Address - City:KAUNAKAKAI
Practice Address - State:HI
Practice Address - Zip Code:96748
Practice Address - Country:US
Practice Address - Phone:808-553-3231
Practice Address - Fax:808-553-5474
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIW40453306-01251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health