Provider Demographics
NPI:1215463682
Name:NATIONAL KIDNEY FOUNDATION OF HAWAII
Entity type:Organization
Organization Name:NATIONAL KIDNEY FOUNDATION OF HAWAII
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:GLEN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAYASHIDA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-589-5970
Mailing Address - Street 1:1314 S KING ST
Mailing Address - Street 2:SUITE 1555
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-1956
Mailing Address - Country:US
Mailing Address - Phone:808-589-5970
Mailing Address - Fax:
Practice Address - Street 1:1314 S KING ST
Practice Address - Street 2:SUITE 1555
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96814-1956
Practice Address - Country:US
Practice Address - Phone:808-589-5970
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-05-04
Last Update Date:2020-11-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes133V00000XDietary & Nutritional Service ProvidersDietitian, RegisteredGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI1619342573OtherINDEPENDENT REGISTRATION
HI1972041507OtherINDEPENDENT REGISTRATION