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Contact Information

FIVE MOUNTAINS HAWAII, INC
64-1035 MAMALAHO HWY STE F
WAIMEA, HI96743-8440
 Phone: 808-885-5900
 Fax: 808-885-6900
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Rural Health

261QR1300X B4[14] Rural Health Clinic
 

Clinical

103TC0700X 62 Psychologist, Clinical
Indicates primary specialty

NPI Profile & details for FIVE MOUNTAINS HAWAII, INC

NPI Number 1215359989
LBN Legal business name FIVE MOUNTAINS HAWAII, INC
Authorized official CLAREN KEALOHA-BEAUDET - (CHIEF EXECUTIVE OFFICER)
Entity Organization
Organization subpart 1 No
Enumeration date 01/14/2014
Last updated 01/13/2022 - About 4 years ago
Identifiers
HI Medicaid 813669
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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