Provider Demographics
NPI:1386711638
Name:HAWAII FAMILY MEDICAL CENTERS
Entity type:Organization
Organization Name:HAWAII FAMILY MEDICAL CENTERS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:PAUL
Authorized Official - Middle Name:K
Authorized Official - Last Name:SCHNUR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-537-5512
Mailing Address - Street 1:818 KEEAUMOKU ST
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96814-2393
Mailing Address - Country:US
Mailing Address - Phone:808-537-5512
Mailing Address - Fax:808-533-1482
Practice Address - Street 1:3-3295 KUHIO HWY
Practice Address - Street 2:
Practice Address - City:LIHUE
Practice Address - State:HI
Practice Address - Zip Code:96766-1040
Practice Address - Country:US
Practice Address - Phone:808-245-8874
Practice Address - Fax:808-246-9080
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:HAWAII FAMILY MEDICAL CENTERS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2006-11-30
Last Update Date:2016-01-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HI207Q00000X, 207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty