Organization Active NPI

Naval Health Clinic Hawaii

  • Military Outpatient Operational (Transportable) Component Clinic/Center
  • Pearl Harbor, HI
National Provider Identifier
1033393327
Registry record updated Dec 21, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military Outpatient Operational (Transportable) Component Clinic/CenterTaxonomy code 261QM1102X
License
638790 Issued in CA
Legal business name
NAVAL HEALTH CLINIC HAWAII
Practice address
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone
(808) 257-3365
NPI assigned
Dec 21, 2007
Last updated
Dec 21, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 21, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Angela Annette Harber, RN
Title
Staff Nurse
Phone
(808) 257-3365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military Outpatient Operational (Transportable) Component Clinic/Center 261QM1102X 638790 CA Primary

Addresses

Primary practice location

480 Central Ave
Pearl Harbor, HI 96860-4908

Mailing address

480 Central Ave
Pearl Harbor, HI 96860-4908
Phone (808) 257-3365

National Provider Directory

National Provider Directory

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1198195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1198195200000",
    "number": "1033393327",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-257-3365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-257-3365"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NAVAL HEALTH CLINIC HAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-12-21",
        "last_updated": "2007-12-21",
        "status": "A",
        "authorized_official_last_name": "HARBER",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_middle_name": "ANNETTE",
        "authorized_official_title_or_position": "STAFF NURSE",
        "authorized_official_telephone_number": "808-257-3365",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "261QM1102X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military Outpatient Operational (Transportable) Component",
            "state": "CA",
            "license": "638790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl Harbor, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 21, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.