Basic Information
Provider Information
NPI: 1720031701
EntityType: 2
ReplacementNPI:  
OrganizationName: STRAUB CLINIC & HOSPITAL
LastName:  
FirstName:  
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 1946 YOUNG ST
Address2: SUITE 320
City: HONOLULU
State: HI
PostalCode: 968262169
CountryCode: US
TelephoneNumber: 8089737320
FaxNumber: 8089737325
Practice Location
Address1: 888 S KING ST
Address2:  
City: HONOLULU
State: HI
PostalCode: 968133009
CountryCode: US
TelephoneNumber: 8085224000
FaxNumber: 8085224011
Other Information
ProviderEnumerationDate: 05/18/2006
LastUpdateDate: 08/19/2014
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode:  
AuthorizedOfficialLastName: OKABE
AuthorizedOfficialFirstName: DAVID
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition: CFO
AuthorizedOfficialTelephone: 8085357202
IsSoleProprietor:  
IsOrganizationSubpart: N
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix: MR.
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
282N00000X32-HHIY HospitalsGeneral Acute Care Hospital 

No ID Information.


Home