Provider Demographics
NPI:1447670252
Name:HAWAII WOUND, OSTOMY AND CONTINENCE SERVICES, LLC
Entity type:Organization
Organization Name:HAWAII WOUND, OSTOMY AND CONTINENCE SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:KINUYO
Authorized Official - Last Name:JINBO
Authorized Official - Suffix:
Authorized Official - Credentials:PHD, APRN
Authorized Official - Phone:808-392-5459
Mailing Address - Street 1:420 KUWILI ST
Mailing Address - Street 2:SUITE 103
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-5050
Mailing Address - Country:US
Mailing Address - Phone:808-392-9238
Mailing Address - Fax:
Practice Address - Street 1:80 SAND ISLAND ACCESS RD STE 238
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96819-4912
Practice Address - Country:US
Practice Address - Phone:808-392-5459
Practice Address - Fax:808-791-6990
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-04-18
Last Update Date:2019-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center
No332B00000XSuppliersDurable Medical Equipment & Medical Supplies