Family Support Services Of West Hawaii

LBN: Family Support Services Of West Hawaii
Family Support Services Of West Hawaii is an health care organization with primary practice located at 75-127 Lunapule Rd Ste 11 , Kailua Kona HI 96740-2119. The organization recently has only one registered license in Ambulatory Health Care Facilities / Rehabilitation, which is considered as the primary health care specialty. Family Support Services Of West Hawaii can be contacted via phone (808) 334-4115, or through Wofford, Ray via phone (808) 334-4115.

Contact Information

Primary practice address
75-127 Lunapule Rd Ste 11 Kailua Kona HI 96740-2119
Phone: (808) 334-4115
Fax: (808) 326-4063
Website:
Map and Directions
Authorized official contact:
Name: Wofford, Ray
Phone: (808) 334-4115

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Rehabilitation 261QR0400X

Profile Details

NPI number 1649687120
LBN Legal business name Family Support Services Of West Hawaii
DBA Doing business as
Authorized official Wofford, Ray
Entity Organization
Organization subpart 1 No
Enumeration date Jul 17th, 2014
Last updated Jul 17th, 2014 - about 10 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649687120 NPPES
Hawaii MEDICAID 64642402

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