MAUI VA CLINIC (1065)    INSTITUTION (4)

Name Value
NAME MAUI VA CLINIC
STATE HAWAII
STREET ADDR. 1 203 HO'OHANA STREET, SUITE 303
CITY KAHULUI
ZIP 96732-2476
OFFICIAL VA NAME MAUI VA CLINIC
STATUS National
ASSOCIATIONS
BILLING FACILITY NAME KAHULUI VA CBOC
ST. ADDR. 1 (MAILING) 203 HO'OHANA STREET, SUITE 303
CITY (MAILING) KAHULUI
STATE (MAILING) HAWAII
ZIP (MAILING) 96732-2476
EFFECTIVE DATE/TIME
  • 2007-01-08 00:00:00
    STATUS:   ACTIVE
    NPI:   1831136746
TAXONOMY CODE
LOCATION TIMEZONE HAWAII-ALEUTIAN
COUNTRY USA
TIMEZONE EXCEPTION SST Only
AGENCY CODE VA
POINTER TO AGENCY VA
STATION NUMBER 459GA
IDENTIFIER
  • CODING SYSTEM:   NPI
    ID:   1831136746
  • CODING SYSTEM:   VASTANUM
    ID:   459GA
  • CODING SYSTEM:   CLIA
    ID:   12D1043403