Provider Demographics
NPI:1215948914
Name:ST. FRANCIS COMMUNITY HEALTH SERVICES
Entity type:Organization
Organization Name:ST. FRANCIS COMMUNITY HEALTH SERVICES
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:VP - CLIENT SERVICES
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:
Authorized Official - Last Name:AH HO-MAUGA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-547-8050
Mailing Address - Street 1:PO BOX 29700
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96820-2100
Mailing Address - Country:US
Mailing Address - Phone:808-595-7566
Mailing Address - Fax:808-595-6996
Practice Address - Street 1:2228 LILIHA ST STE 406
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-1654
Practice Address - Country:US
Practice Address - Phone:808-595-7566
Practice Address - Fax:808-676-1220
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-10
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
N/A251G00000X, 315D00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251G00000XAgenciesHospice Care, Community Based
No315D00000XNursing & Custodial Care FacilitiesHospice, Inpatient
Provider Identifiers
StateIdentifier IDID TypeIssuer
HI990073526OtherVA
HI00J0010221Medicaid
HI00L0210221OtherHMSA (WEST BRANCH)
HI00K0210306OtherHMSA (NUUANU BRANCH)
HI25195401Medicaid
HI00J0010221Medicaid
HI990073526OtherVA
HI00J0010221Medicare ID - Type UnspecifiedHMSA 65 C+ (MEDICARE HMO)