DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMUHAWAII (NPI# 1285987313) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1285987313 |
| Entity Type | Organization |
| Organization Name | DEPT. OF HEALTH-HAWAII-DEVELOPMENTAL DISABILITIES DIVISION CMUHAWAII |
| Practice Address |
46 Keawe St Hilo HI 96720-2459 |
| Mailing Address |
1250 Punchbowl St Room 463 Attn: Phao Honolulu HI 96813-2416 |
| Practice Telephone | 8085876043 |
| Enumeration Date | 2012-10-26 |
| Last Update Date | 2012-10-26 |
| Authorized Official Name | DR. DAVID FRAY (CHIEF) |
| Authorized Official Telephone | 8085865842 |
| Authorized Official Credential | D.D.S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
46 KEAWE ST |
| City | HILO |
| State | HI |
| Zip Code | 96720-2459 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184230807 | Iane Dantas Franca | Counselor | 1045 Kilauea Avenue, Hilo, HI 96720 | 2020-09-17 |
| 1467086280 | Integrated Medicine Institute, Inc. | Nurse Practitioner | 868 Ululani Street Suite 106, Hilo, HI 96720 | 2020-03-02 |
| 1316405004 | Stephanie M Higa | Registered Nurse | Hc01 Stainback Hwy., Hilo, HI 96720 | 2019-03-12 |
| 1790257418 | Blake Honda | Behavior Technician | 879b Manono St., Hilo, HI 96720 | 2018-12-19 |
| 1184101446 | The Salvation Army | Substance Abuse Rehabilitation Facility | 105 Hokulani Street, Hilo, HI 96720 | 2018-07-19 |
| 1013434505 | Taliesin Erika Kiele Sumner | Student in an Organized Health Care Education/Training Program | 214 Waianueanue Ave., #209, Hilo, HI 96720 | 2017-08-24 |
| 1154844454 | David Fundakowski | Behavioral Analyst | 69 Railroad Avenue, Hawaii Behavioral Health, Hilo, HI 96720 | 2017-07-19 |
| 1407381668 | Veronica Brockway | Counselor | 69 Railroad Ave Ste 3, Hilo, HI 96720 | 2017-04-25 |
| 1477092682 | Frederique Montpetit | Student in an Organized Health Care Education/Training Program | 1257 Kilauea Ave Suite 100, Hilo Family Dental Center, Hilo, HI 96720 | 2017-02-21 |
| 1427592666 | Amber Kainoa Arthur | Behavioral Analyst | 234 Waianuenue Ave. Suite 215, Hilo, HI 96720 | 2016-12-07 |
| Find all providers in zip 96720 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1821341959 | Dept. of Health-hawaii-developmental Disabilities Division Cmukauai | Clinic/Center | 3040 Umi St, Lihue, HI 96766-1828 | 2012-10-26 |
| 1689927758 | Dept. of Health-hawaii-developmental Disabilities Division Cmu5 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-10-25 |
| 1164776829 | Dept. of Health-hawaii-developmental Disabilities Division Cmu8 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-02 |
| 1083968747 | Dept. of Health-hawaii-developmental Disabilities Division Cmu7 | Clinic/Center | 2201 Waimano Home Rd, Hale 'e', Pearl City, HI 96782-1474 | 2012-11-02 |
| 1457605149 | Dept. of Health-hawaii-developmental Disabilities Division Cmu6 | Clinic/Center | 2201 Waimano Home Rd, Hale 'd', Pearl City, HI 96782-1474 | 2012-11-01 |
| 1447504139 | Dept. of Health-hawaii-developmental Disabilities Division Cmu4 | Clinic/Center | 45-691 Keaahala Rd, Kaneohe, HI 96744-3569 | 2012-11-01 |
| 1306190301 | Dept. of Health-hawaii-developmental Disabilities Division Cmu1 | Clinic/Center | 3627 Kilauea Ave, Room 411 Ddd-cmu 1, Honolulu, HI 96816-2317 | 2012-10-30 |
| 1255685277 | Dept. of Health-hawaii-developmental Disabilities Division Cmu3 | Clinic/Center | 601 Kamokila Blvd, Room 300 Ddd-cmu3, Kapolei, HI 96707-2023 | 2012-10-29 |
| 1336493352 | Dept. of Health-hawaii-developmental Disabilities Division Cmu2 | Clinic/Center | 601 Kamokila Blvd, Room 300 Ddd-cmu2, Kapolei, HI 96707-2023 | 2012-10-29 |
| 1275886301 | Dept. of Health-hawaii-developmental Disabilities Division Cmumaui | Clinic/Center | 210 Imi Kala St, Suite 105, Wailuku, HI 96793-1274 | 2012-10-26 |
| Find all providers with the same taxonomy | ||||
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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.