Provider Demographics
NPI:1992481907
Name:OCCMED HEALTH AND WELLNESS, LLC
Entity type:Organization
Organization Name:OCCMED HEALTH AND WELLNESS, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:LOU
Authorized Official - Last Name:FLETCHER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:808-308-0300
Mailing Address - Street 1:677 ALA MOANA BLVD STE 903
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96813-5416
Mailing Address - Country:US
Mailing Address - Phone:808-308-0300
Mailing Address - Fax:833-471-5801
Practice Address - Street 1:677 ALA MOANA BLVD STE 903
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96813-5416
Practice Address - Country:US
Practice Address - Phone:808-308-0300
Practice Address - Fax:833-471-5801
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-06-26
Last Update Date:2024-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QX0100XAmbulatory Health Care FacilitiesClinic/CenterOccupational Medicine