Ke Ala Pono Recovery Center
LBN: Gerald J Mckenna M.D. Inc Dba Mckenna Recovery Center
Ke Ala Pono Recovery Center is an health care organization with primary practice located at 4374 Kukui Grove St Ste 104, Lihue HI 96766-2007. The organization recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Addiction Medicine, Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder. Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder is the primary health care specialty.
Gerald J Mckenna M.D. Inc Dba Mckenna Recovery Center can be contacted via phone (808) 246-0663, or through Mckenna, Gerald James via phone (808) 246-0663.
Contact Information
Primary practice address
4374 Kukui Grove St Ste 104
Lihue HI 96766-2007
Phone: (808) 246-0663
Fax: (808) 246-1806
Website:
Authorized official contact:
Name: Mckenna, Gerald James Doctor of Medicine (MD)
Phone: (808) 246-0663
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Addiction Medicine | 2084A0401X | MD6041 | Hawaii |
Ambulatory Health Care Facilities / Rehabilitation, Substance Use Disorder | 261QR0405X | MD6041 | Hawaii |
Profile Details
NPI number | 1013350099 |
---|---|
LBN Legal business name | Gerald J Mckenna M.D. Inc Dba Mckenna Recovery Center |
DBA Doing business as | Ke Ala Pono Recovery Center |
Authorized official | Mckenna, Gerald James Doctor of Medicine (MD) |
Entity | Organization |
Organization subpart 1 | No |
Enumeration date | Apr 9th, 2013 |
Last updated | Sep 2nd, 2015 - about 9 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1013350099 | NPPES |
Hawaii | MEDICAID | 02661901 |
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