Pacific Renal Care Foundation

Primary specialty

Health Service Clinic/CenterTaxonomy code 261QH0100X

Legal business name

PACIFIC RENAL CARE FOUNDATION

Practice address

203 Hoohana St
Suite 201
Kahului, HI 96732-2476

Phone

(808) 873-2121

Fax

(808) 873-2148

NPI assigned

Jun 17, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Laura K.M. Colbert

Title

Exeuctive Director

Phone

(808) 585-4620

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1150502400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1437194347",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2226 LILIHA ST",
            "address_2": "SUITE 226",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968171600",
            "telephone_number": "808-585-4620",
            "fax_number": "808-585-4601"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "203 HOOHANA ST",
            "address_2": "SUITE 201",
            "city": "KAHULUI",
            "state": "HI",
            "postal_code": "967322476",
            "telephone_number": "808-873-2121",
            "fax_number": "808-873-2148"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PACIFIC RENAL CARE FOUNDATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-17",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "COLBERT",
        "authorized_official_first_name": "LAURA",
        "authorized_official_middle_name": "K.M.",
        "authorized_official_title_or_position": "EXEUCTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-585-4620",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Leah Mahealani Osorno, RBT
• Carli Leiana Kimiko Owan, RPH
• Braun William Pacheco, RBT
• Pacific Medical Group LLC
• Pacific Renal Care Foundation
• Pacific Rim Cardiovascular Inc
• Pacific Spine & Rehab
• Christopher Joel Pagdilao, ATC
• Michael Painchaud
• Pakolea Rehab

• Health Service Clinic/Center in Kahului, HI
• Providers in Kahului, HI by specialty
• Health Service Clinic/Center in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.