FEDERAL DETENTION CENTER HONOLULU (NPI# 1144680869) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144680869 |
| Entity Type | Organization |
| Organization Name | FEDERAL DETENTION CENTER HONOLULU |
| Practice Address |
351 Elliott St Honolulu HI 96819-1817 |
| Practice Telephone | 8088384200 |
| Mailing Telephone | 8088384200 |
| Enumeration Date | 2016-02-24 |
| Last Update Date | 2016-02-24 |
| Authorized Official Name | NICHOLAS MUNOZ (HEALTH SYSTEMS SPECIALIST) |
| Authorized Official Telephone | 8088384200 |
| Authorized Official Credential | RN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QP2400X |
Clinic/Center Specialization: Prison Health |
Ambulatory Health Care Facilities |
| Street Address |
351 ELLIOTT ST |
| City | HONOLULU |
| State | HI |
| Zip Code | 96819-1817 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1255520722 | Leonardo Fetalvero Giron | Internal Medicine | 351 Elliott St, Honolulu, HI 96819-1817 | 2007-10-19 |
| 1437719374 | Paul Nordstrom | Nurse Practitioner | 351 Elliott St, Honolulu, HI 96819-1817 | 2019-06-13 |
| 1619475886 | Nicholas Joseph Munoz | Nurse Practitioner | 351 Elliott St, Honolulu, HI 96819-1817 | 2018-01-23 |
| 1316480429 | Trevor Lidge | Nurse Practitioner | 351 Elliott St, Honolulu, HI 96819-1817 | 2016-11-21 |
| 1891063939 | Birgit Dyer | Nurse Practitioner | 351 Elliott St, Honolulu, HI 96819-1817 | 2011-12-04 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619507621 | Corrie Sanders | Pharmacist | 450 Patterson Rd, Honolulu, HI 96819 | 2020-01-17 |
| 1245870526 | Ouida Searay Vaillancourt | Dental Hygienist | 339 Mongomery Ave, Honolulu, HI 96819 | 2020-01-14 |
| 1942852660 | Kolea Home Care | In Home Supportive Care | 2229 Kula Kolea Drive, Honolulu, HI 96819 | 2019-07-12 |
| 1164957882 | Kathleen Oliver | Student in an Organized Health Care Education/Training Program | 2229 North School St., Kokua Kalihi Valley Health Center, Honolulu, HI 96819 | 2017-05-01 |
| 1720436058 | Aaron Taniguchi | Physical Therapist | 1740 Ala Aolani St, Honolulu, HI 96819 | 2016-05-26 |
| 1770940892 | Tracy Lynne Khan Fernando | Nurse Practitioner | 2239 N. School St., Kokua Kalihi Valley, Honolulu, HI 96819 | 2016-01-20 |
| 1275961385 | Gavino T. Vinzons M.d, Inc | Family Medicine | 2055 N. King St. Ste 102, Honolulu, HI 96819 | 2013-10-29 |
| 1407195118 | Candace Adeline Schumacher | Licensed Vocational Nurse | 1460 Ala Aolani, Honolulu, HI 96819 | 2013-02-01 |
| 1750629556 | Benjamin L Kilinski | Nurse Practitioner | 1803 Kamehameha Iv Road, Honolulu, HI 96819 | 2013-01-29 |
| 1366701047 | Doreen Anela Oura Ramseyer | Case Manager/Care Coordinator | 1130 N. Nimitz Hwy., C-301, Honolulu, HI 96819 | 2012-05-15 |
| Find all providers in zip 96819 | ||||
| Taxonomy Code | 261QP2400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Prison Health |
| Definition to come... |
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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.