NAVAL HEALTH CLINIC HAWAII (NPI# 1568686368) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1568686368 |
| Entity Type | Organization |
| Organization Name | NAVAL HEALTH CLINIC HAWAII |
| Practice Address |
480 Central Ave Pearl Harbor HI 96860-4908 |
| Practice Telephone | 8084711866 |
| Mailing Telephone | 8084731880 |
| Mailing Fax Number | 8084730884 |
| Enumeration Date | 2007-04-12 |
| Last Update Date | 2008-07-21 |
| Authorized Official Name | MRS. KIMBERLY ELLEN DUBOIS (NURSE) |
| Authorized Official Telephone | 8085901728 |
| Authorized Official Credential | R.N. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | 55912 | HI | Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1134397037 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Camp Smith Medical Naval Annex, Camp Smith, HI 96861 | 2008-02-13 |
| 1902084577 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Wahaiwa Brmax Eastpac, 500 Center St Bldg 22, Wahiawa, HI 96786 | 2008-02-06 |
| 1083713606 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Bldg 1407, Pearl Harbor, HI 96860-4908 | 2006-09-21 |
| 1891894416 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | D Street Bldg 3089, Kaneohe, HI 96863-3066 | 2006-09-21 |
| 1558773069 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Naval Health Clinic, Bldg 3089, D Street, Kaneohe Bay, HI 96744 | 2014-06-02 |
| 1033393327 | Naval Health Clinic Hawaii | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2007-12-21 |
| 1457541047 | Naval Health Clinic Hawaii | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2007-07-30 |
| 1700985322 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Sand Island Access Rd Area 4, Honolulu, HI 96819 | 2006-09-21 |
| 1205899879 | Naval Health Clinic Hawaii | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2006-04-06 |
| Street Address |
480 CENTRAL AVE |
| City | PEARL HARBOR |
| State | HI |
| Zip Code | 96860-4908 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1992311930 | Branch Medical Clinic Naval Shipyard Pearl Harbor | Clinic/Center | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-09-16 |
| 1144841842 | Sue Ellen Alden-rudin | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-05-04 |
| 1982244489 | Lindsey Serapion-peralta | Dental Hygienist | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2020-01-13 |
| 1609429364 | Michelle Marie Pallera Lobaton | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-07-22 |
| 1548720451 | Kimi Jo Nelson | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860 | 2019-03-25 |
| 1841761525 | Heather Nycole Matz | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-12-06 |
| 1184192494 | Edwin Ernest Stumpf II | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-11-05 |
| 1902380413 | Lystra Irene Braumuller | Case Manager/Care Coordinator | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-20 |
| 1942783121 | Jennifer Yadao | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-09-13 |
| 1750860318 | Genine Marie Gorman | Registered Nurse | 480 Central Ave, Pearl Harbor, HI 96860-4908 | 2018-08-14 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770075970 | April Box | Registered Nurse | Naval Health Clinic Hawii, 480 Central Avenue, Pearl Harbor, HI 96860 | 2018-06-04 |
| 1760985535 | Daniel Thomas Weinberg | General Practice | 1430 Morton St Bldg 619, Jbphh, HI 96860 | 2018-03-17 |
| 1003325366 | Justin Hesse | Military Health Care Provider | Building 17 Bishop Point, Pearl Harbor, HI 96860 | 2017-09-29 |
| 1982057816 | John Alois Kustermann | Family Medicine | 490 Central Avenue Bldg 281, Honolulu Military Entrance Processing Station, Pearl Harbor, HI 96860 | 2016-07-15 |
| 1104290519 | Carlton Jacob Maughan | Military Health Care Provider | Bldg 17 Bishops Point, Pearl Harbor, HI 96860 | 2015-11-23 |
| 1588079206 | Naval Health Clinic Hawaii | Military/U.S. Coast Guard Pharmacy | Makalapa Rd, Bldg 1407, Pearl Harbor, HI 96860 | 2014-06-23 |
| 1922349968 | Jose Israel Lopez | Military Health Care Provider | Mdsu-1 Bishop Point, Building 17, Pearl Harbor, HI 96860 | 2013-03-14 |
| 1790056620 | Lesley Brooke Dorsey | Physician Assistant | 408 Central Ave, Jbphh, HI 96860 | 2012-01-24 |
| 1184914061 | William A Talbott | Military Health Care Provider | 850 Ticonderoga St, Pearl Harbor, HI 96860 | 2011-04-13 |
| 1275860603 | Michael J. Rodriguez | Military Health Care Provider | 822 Clark St., Nssc Medical Suite 400, Pearl Harbor, HI 96860 | 2009-11-05 |
| Find all providers in zip 96860 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821609991 | Orn Total Health Hawaii- Aila Olakino | Clinic/Center | 75-5749 Kalawa St Ste 101, Kailua Kona, HI 96740-1873 | 2020-08-12 |
| 1609486240 | Total Health Connection LLC | Clinic/Center | 15-2579 Keaau Pahoa Rd, Pahoa, HI 96778-6710 | 2020-08-07 |
| 1720697931 | Pacific Vascular Institute-kona | Clinic/Center | 75-184 Hualalai Rd Ste 100-101, Kailua Kona, HI 96740-1719 | 2020-07-24 |
| 1366065591 | The Queen's Medical Center | Clinic/Center | 1401 S Beretania St Ste 350, Honolulu, HI 96814-1871 | 2020-05-21 |
| 1700415387 | Kaimana Integrative Health Inc. | Clinic/Center | 25-246 Pukana La St, Hilo, HI 96720-1381 | 2020-04-05 |
| 1275167348 | Pacific Vascular Institute, LLC | Clinic/Center | 99-115 Aiea Heights Dr Ste 276b, Aiea, HI 96701-3924 | 2020-02-27 |
| 1619500394 | Vitra Eyewear Group LLC | Clinic/Center | 2233 Kalakaua Ave # B111e, Honolulu, HI 96815-5200 | 2020-02-20 |
| 1063079036 | Kos Integrative Health, LLC | Clinic/Center | 1441 Kapiolani Blvd Ste 609, Honolulu, HI 96814-4403 | 2019-05-24 |
| 1952873408 | Hawaii Health Systems Corporation | Clinic/Center | 4643 Waimea Canyon Dr, Ste B, Waimea, HI 96796 | 2018-12-21 |
| 1073085528 | Hawaii Health Systems Corporation | Clinic/Center | 2829 Ala Kalanikuamaka St, Koloa, HI 96756 | 2018-12-21 |
| Find all providers with the same taxonomy | ||||
| City | PEARL HARBOR |
| Zip Code | 96860 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.