WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC (NPI# 1366942831) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1366942831 |
| Entity Type | Organization |
| Organization Name | WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC |
| Practice Address |
91-1841 Fort Weaver Rd Ewa Beach HI 96706-1909 |
| Mailing Address |
86-260 Farrington Hwy Waianae HI 96792-3128 |
| Practice Telephone | 8086973300 |
| Enumeration Date | 2018-02-20 |
| Last Update Date | 2019-09-19 |
| Authorized Official Name | MR. JAMES CHEN (CHIEF FINANCIAL OFFICER) |
| Authorized Official Telephone | 8086973300 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QM0855X |
Clinic/Center Specialization: Adolescent and Children Mental Health |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Ewa West O'ahu Community Health Center | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1447727318 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinical Medical Laboratory | 94-428 Mokuola St Ste 108b, Waipahu, HI 96797-3396 | 2018-10-30 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1942673264 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 85-251 Farrington Hwy, Waianae, HI 96792-2113 | 2015-11-09 |
| 1851764179 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 85-626 Farrington Hwy, Waianae, HI 96792-2419 | 2015-11-09 |
| 1730253626 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 94-428 Mokuola St, Suite 108-b, Waipahu, HI 96797-3396 | 2006-11-20 |
| 1902288830 | Waianae District Comprehensive Health and Hospital Board, Inc | Optometrist | 86-120 Farrington Hwy, C-301, Waianae, HI 96792-3000 | 2015-06-27 |
| 1295928497 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 87-2070 Farrington Hwy, Leeward Pediatrics, Suite N, Nanakuli, HI 96792-3756 | 2007-08-21 |
| 1558492066 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2007-03-08 |
| 1083749279 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinical Medical Laboratory | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2007-02-21 |
| 1275566424 | Waianae District Comprehensive Health and Hospital Board, Inc | Dermatology | 86-260 Farrington Hwy, Waianae, HI 96792-3128 | 2006-07-09 |
| Street Address |
91-1841 FORT WEAVER RD |
| City | EWA BEACH |
| State | HI |
| Zip Code | 96706-1909 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1801937156 | Kai Patrick Mcbride | Counselor | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2007-02-09 |
| 1295347524 | Garret K. Takahashi | Student in an Organized Health Care Education/Training Program | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-08-18 |
| 1295346278 | Ketsy Karen Anderson | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-08-12 |
| 1568084994 | Melissa Harper-osai | Case Manager/Care Coordinator | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-05-07 |
| 1043830581 | Keith Hiromi Takeshita | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-04-24 |
| 1669091757 | Trudy O'brien | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-04-09 |
| 1639705411 | Julia Char | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-03-12 |
| 1851926646 | Suzanne Torres | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-03-11 |
| 1285269134 | Aneterica Pola | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-03-10 |
| 1144853839 | Mila Ramos | Behavior Technician | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2020-02-20 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922625516 | Alison Tolentino | Technician | 91-3633 Kauluakoko Street, Ewa Beach, HI 96706 | 2020-06-29 |
| 1851915722 | Sheree Cole Wilson | Social Worker | 6851 B 112th Street, Ewa Beach, HI 96706 | 2020-06-05 |
| 1811547144 | Madelyn Valenzuela | Technician | 91-1007 Napoona St., Ewa Beach, HI 96706 | 2019-09-18 |
| 1932761673 | Kina'ole Case Management Agency LLC | Case Management | 91-1163 Olowa Street Ewa Beach Hi 96706, Ewa Beach, HI 96706 | 2019-07-02 |
| 1952875049 | Vegafit Elite Fitness and Training | Family Medicine | 91-2131 Kaioli St, #3403, Ewa Beach, HI 96706 | 2019-01-11 |
| 1912470345 | Kristen Eiko Kane | Speech-Language Pathologist | 91-1561 Keaunui Dr, Ewa Beach, HI 96706 | 2019-01-08 |
| 1871069849 | Desiree Tricarico | Nurse Practitioner | 91-6390 Kapolei Pkwy, Suite 200, Ewa Beach, HI 96706 | 2018-10-17 |
| 1598251894 | Ewa Beach Dentists LLC | Clinic/Center | 105 Fort Weaver Road, Ste 105, Ewa Beach, HI 96706 | 2018-07-10 |
| 1427586833 | Alison Mcdonald Cameron | Marriage & Family Therapist | 6186a Ibis Ave, Ewa Beach, HI 96706 | 2017-05-30 |
| 1629528567 | Cindy Ann Holden | Contractor | 91755 B Fort Weaver Road, Ewa Beach, HI 96706 | 2016-10-04 |
| Find all providers in zip 96706 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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|---|---|---|---|---|
| 1558971846 | Hamakua Health Center, Inc. | Clinic/Center | 67-1123 Mamalahoa Hwy Ste 134, Kamuela, HI 96743-8451 | 2020-08-03 |
| 1053955120 | Bay Clinic Inc | Clinic/Center | 450 Kilauea Ave Ste 105, Hilo, HI 96720-3089 | 2019-11-01 |
| 1548733397 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 3659 Kalihi St, Honolulu, HI 96819-3038 | 2019-01-04 |
| 1922585272 | Hamakua Health Center, Inc. | Clinic/Center | 65-1230 Mamalahoa Highway, Suite C 13/14, Kamuela, HI 96743 | 2018-07-19 |
| 1306347448 | Hamakua Health Center, Inc. | Clinic/Center | 35-2065 Old Mamalahoa Hwy, Laupahoehoe, HI 96764-9672 | 2018-02-23 |
| 1346656311 | West Hawaii Community Health Center, Inc. | Clinic/Center | 81-980 Halekii St Ste 107, Kealakekua, HI 96750-8177 | 2014-07-10 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1629330550 | Waikiki Health | Clinic/Center | Pier 1 Forrest Ave, Honolulu, HI 96813-2831 | 2012-06-15 |
| 1548521164 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 2229 N School St, Honolulu, HI 96819-2588 | 2012-05-30 |
| 1063668473 | Waikiki Health | Clinic/Center | 415 Keoniana St, Honolulu, HI 96815-2018 | 2008-08-18 |
| Find all providers with the same taxonomy | ||||
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| 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.