Gulick Elder Center

LBN: Kokua Kalihi Valley Comprehensive Family Services
Gulick Elder Center is an health care organization with primary practice located at 1846 Gulick Avenue , Honolulu HI 96819. The organization recently has only one registered license in Ambulatory Health Care Facilities / Health Service, which is considered as the primary health care specialty. Kokua Kalihi Valley Comprehensive Family Services can be contacted via phone (808) 848-0977, or through Derauf, David via phone (808) 791-9400.

Contact Information

Primary practice address
1846 Gulick Avenue Honolulu HI 96819
Phone: (808) 848-0977
Fax: (808) 848-8689
Website:
Map and Directions
Authorized official contact:
Name: Derauf, David M.D., MPH
Phone: (808) 791-9400

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Health Service 261QH0100X 261QH100X Hawaii

Profile Details

NPI number 1689896953
LBN Legal business name Kokua Kalihi Valley Comprehensive Family Services
DBA Doing business as Gulick Elder Center
Authorized official Derauf, David M.D., MPH
Entity Organization
Organization subpart 1 No
Enumeration date May 3rd, 2007
Last updated Nov 25th, 2014 - about 12 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 1689896953 NPPES
Hawaii Other 121838 MEDICARE ID
Hawaii MEDICAID 00992101 MEDICARE ID

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