LANAI COMMUNITY HEALTH CENTER (NPI# 1316317100) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1316317100 |
| Entity Type | Organization |
| Organization Name | LANAI COMMUNITY HEALTH CENTER |
| Practice Address |
333 Sixth Street Lanai City HI 96763-0142 |
| Mailing Address |
333 Sixth Street Po Box 630142 Lanai City HI 96763-0142 |
| Practice Telephone | 8085656919 |
| Practice Fax Number | 8085659111 |
| Mailing Telephone | 8085656919 |
| Mailing Fax Number | 8085659111 |
| Enumeration Date | 2015-10-06 |
| Last Update Date | 2015-10-06 |
| Authorized Official Name | DR. DIANA SHAW (EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8085656919 |
| Authorized Official Credential | PHD, MPH, MBA, F |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QC1500X |
Clinic/Center Specialization: Community Health |
Ambulatory Health Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679754097 | Lanai Community Health Center | Clinic/Center | 478 Lauhala Street, Lanai City, HI 96763 | 2007-11-15 |
| Street Address |
333 SIXTH STREET |
| City | LANAI CITY |
| State | HI |
| Zip Code | 96763-0142 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942409156 | Cori Takesue | Psychologist | 333 Sixth Street, Lanai City, HI 96763 | 2007-07-17 |
| 1174157978 | Janette Myers | Nurse Practitioner | 333 Sixth Street, Lanai City, HI 96763 | 2020-03-02 |
| 1720548027 | Kris Aceret | Registered Nurse | 333 Sixth Street, Lanai City, HI 96763 | 2019-03-22 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891396081 | Juvy Rivad Alconcel | Massage Therapist | 1382 Lanai Avenue, 1382 Lanai Avenue, Lanai City, HI 96763 | 2020-11-04 |
| 1134726029 | Lanai Kinaole Inc | In Home Supportive Care | 617 Ilima Ave, Lanai City, HI 96763 | 2020-10-05 |
| 1962060020 | Lanai Kinaole Inc | Home Health | 617 Ilima Avenue, Lanai City, HI 96763 | 2019-06-04 |
| 1699244509 | Jon Joseph Cisneros | Psychologist | 333 Sixth St, Lanai City, HI 96763 | 2018-11-20 |
| 1922589316 | Venture Physical Therapy LLC | Physical Therapist | 628 Ilima Ave, Lanai City, HI 96763 | 2018-08-24 |
| 1154843746 | Michele Ann Evangelista | Massage Therapist | 1270 Olapa Street, Lanai City, HI 96763 | 2017-07-14 |
| 1558722678 | Karen Brown | Specialist | 436 Iliahi St, Lanai City, HI 96763 | 2016-03-17 |
| 1588050983 | Rainbow Pharmacy, LLC | Pharmacy | 431 Seventh St, Lanai City, HI 96763 | 2015-04-13 |
| 1578951612 | Jamie Kamailani Boyd | Registered Nurse | 832 Kiele Street, Lanai City, HI 96763 | 2014-12-23 |
| 1801208178 | Hawaii Dental Clinic Lanai | Dentist | 730 Lanai Avenue #101, Lanai City, HI 96763 | 2014-05-21 |
| Find all providers in zip 96763 | ||||
| Taxonomy Code | 261QC1500X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Community Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891301016 | Maika'i Health Corporation | Clinic/Center | 670 Ponahawai St Ste 206, Hilo, HI 96720-7830 | 2020-09-22 |
| 1225281793 | Community Clinic of Maui, Inc. | Clinic/Center | 670 Waiale Rd, Wailuku, HI 96793 | 2008-10-28 |
| 1053564526 | Community Clinic of Maui Inc | Clinic/Center | 15 Ipu Aumakua Ln, Lahaina, HI 96761 | 2008-10-28 |
| 1801020623 | Barbara Ann Kualii | Clinic/Center | 224 Haili St, Bldg B, Hilo, HI 96720-2975 | 2009-05-07 |
| 1659531622 | Kauai Community Health Alliance | Clinic/Center | 2460 Oka St, 101-a, Kilauea, HI 96754-5308 | 2008-06-13 |
| 1457548596 | David G Seriguchi, Md Inc | Clinic/Center | 1931 E Vineyard St, Suite 102, Wailuku, HI 96793-1700 | 2007-10-03 |
| 1780738005 | Waimanalo Health Center | Clinic/Center | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2007-01-23 |
| City | LANAI CITY |
| Zip Code | 96763 |
Please comment or provide details below to improve the information on LANAI COMMUNITY HEALTH CENTER.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.