Brigham Young University Health Center

Primary specialty

Clinic/CenterTaxonomy code 261Q00000X

License

P108674 Issued in HI

Legal business name

BRIGHAM YOUNG UNIVERSITY HEALTH CENTER

Practice address

55-220 Kulanui St
Byuh Box #1916
Laie, HI 96762-1219

Phone

(808) 293-3510

Fax

(808) 293-3506

NPI assigned

Aug 31, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Hugh Brian Blum

Title

Director of Financial Services

Phone

(808) 293-3378

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

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

{
    "created_epoch": "1156982400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1669584553",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55-220 KULANUI ST",
            "address_2": "BYUH BOX #1916",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621219",
            "telephone_number": "808-293-3510",
            "fax_number": "808-293-3506"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55-220 KULANUI ST",
            "address_2": "BYUH BOX #1916",
            "city": "LAIE",
            "state": "HI",
            "postal_code": "967621219",
            "telephone_number": "808-293-3510",
            "fax_number": "808-293-3506"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRIGHAM YOUNG UNIVERSITY HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-31",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "BLUM",
        "authorized_official_first_name": "HUGH",
        "authorized_official_middle_name": "BRIAN",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCIAL SERVICES",
        "authorized_official_telephone_number": "808-293-3378",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": "HI",
            "license": "P108674",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "013331-02",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Taylie-Earvin F Atuaia
• Leilani Auna, LCS W
• Jared Ava
• Kevin Nephi Baize, OD
• Guy Russell Boydstun Jr., ATC
• Sydney McKay Brown, CD(DONA)
• Paul Steven Buckingham, PH.D.
• Castle Medical Center (Castle Health Clinic of Laie)
• Royden E. Christensen, D.O.
• Shogo Falevai

• Clinic/Center in Laie, HI
• Providers in Laie, HI by specialty
• 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.