Provider Demographics
NPI:1831786706
Name:HEALTH COORDINATORS ASSOCIATES
Entity type:Organization
Organization Name:HEALTH COORDINATORS ASSOCIATES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:DIANE
Authorized Official - Last Name:HUDDLESTON
Authorized Official - Suffix:
Authorized Official - Credentials:PA
Authorized Official - Phone:808-499-9799
Mailing Address - Street 1:PO BOX 222
Mailing Address - Street 2:
Mailing Address - City:KAILUA
Mailing Address - State:HI
Mailing Address - Zip Code:96734-0222
Mailing Address - Country:US
Mailing Address - Phone:808-499-9979
Mailing Address - Fax:844-861-2469
Practice Address - Street 1:157 KIHAPAI ST UNIT A
Practice Address - Street 2:
Practice Address - City:KAILUA
Practice Address - State:HI
Practice Address - Zip Code:96734-2667
Practice Address - Country:US
Practice Address - Phone:808-499-9979
Practice Address - Fax:844-861-2469
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-28
Last Update Date:2020-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208D00000XAllopathic & Osteopathic PhysiciansGeneral PracticeGroup - Single Specialty