KALIHI-PALAMA HEALTH CENTER (NPI# 1467890095) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1467890095 |
| Entity Type | Organization |
| Organization Name | KALIHI-PALAMA HEALTH CENTER |
| Other Organization Name | LANAKILA HEALTH CENTER - LIVING WELL PROJECT |
| Practice Address |
1700 Lanakila Ave Honolulu HI 96817-2115 |
| Mailing Address |
Po Box 17460 Honolulu HI 96817-0460 |
| Practice Telephone | 8088325800 |
| Mailing Telephone | 8088481438 |
| Mailing Fax Number | 8088488178 |
| Enumeration Date | 2013-06-05 |
| Last Update Date | 2013-06-05 |
| Authorized Official Name | DR. EMMANUEL KINTU (CEO/EXECUTIVE DIRECTOR) |
| Authorized Official Telephone | 8087916315 |
| Authorized Official Credential | D.MGT, MBA |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
W20300018-01 | HI | Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| LANAKILA HEALTH CENTER - Living Well Project | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1437689957 | Kalihi-palama Health Center | Pharmacy | 710 N King St, Honolulu, HI 96817-5769 | 2017-06-18 |
| 1669644068 | Kalihi-palama Health Center | Clinic/Center | 89-91 S. King Street, Honolulu, HI 96813 | 2008-03-26 |
| 1417127507 | Kalihi-palama Health Center | Clinic/Center | 89 S King St, Honolulu, HI 96813 | 2008-03-05 |
| 1508889379 | Kalihi-palama Health Center | Clinic/Center | 904 Kohou St, Honolulu, HI 96817-4420 | 2006-07-25 |
| 1689696395 | Kalihi-palama Health Center | Clinic/Center | 350 Sumner St, Honolulu, HI 96817-5087 | 2006-07-24 |
| 1659393486 | Kalihi-palama Health Center | Clinic/Center | 546 Kaaahi St, Honolulu, HI 96817-4630 | 2006-07-24 |
| 1326068800 | Kalihi-palama Health Center | Clinic/Center | 41 S Beretania St, Honolulu, HI 96813-2220 | 2006-07-20 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | KALIHI-PALAMA HEALTH CENTER | 915 N King St, Honolulu, HI 96817-4544 |
| Street Address |
1700 LANAKILA AVE |
| City | HONOLULU |
| State | HI |
| Zip Code | 96817-2115 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659379311 | Patrick John Kong Chang | Dentist | 1700 Lanakila Ave, 203, Honolulu, HI 96817-2115 | 2005-07-07 |
| 1316429681 | Frank Lee | Registered Nurse | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2018-09-04 |
| 1326410556 | Brenda L.c. Bauer-smith | Psychologist | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2015-10-27 |
| 1154704864 | Madoka Moroe | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2015-06-30 |
| 1306264080 | Michele Brooks | Registered Nurse | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2014-03-31 |
| 1073931754 | Trina Wright | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2014-03-31 |
| 1851726822 | Andrew Tseu | Dentist | 1700 Lanakila Ave, Rm. 203, Honolulu, HI 96817-2115 | 2013-09-10 |
| 1790057867 | Dolly Tatofi | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2012-02-03 |
| 1861760472 | Don D Pedro | Psychologist | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2011-12-09 |
| 1245516343 | Cathleen R.l. Jones | Social Worker | 1700 Lanakila Ave, Honolulu, HI 96817-2115 | 2011-11-02 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1942810676 | Tracey Lorraine Ramelb Mayola | Nurse's Aide | 36 Bates St., Unit A1, Honolulu, HI 96817 | 2020-08-06 |
| 1710503032 | Ray & Cee Inc | Counselor | Heavenly Counsel, 985 Dillingham Blvd Suite 100, Honolulu, HI 96817 | 2020-06-23 |
| 1982238093 | Healthy Mothers Healthy Babies Coalition of Hawaii | Public Health or Welfare | 245 N Kukui St #102a, Kukui Center, Honolulu, HI 96817 | 2020-02-27 |
| 1770042160 | Garza Wellness Care Center, LLC | Chiropractor | 1744 Liliha St. Suite #201, Honolulu, HI 96817 | 2019-03-15 |
| 1932688165 | Behavior Analysis and Family Therapy Center of Hawaii | Marriage & Family Therapist | 200 North Vineyard Blvd, Suite B 270, Honolulu, HI 96817 | 2018-08-08 |
| 1013409382 | Marleina Dee Capua | Behavior Technician | 200 N Vineyard Blvd # A600, Honolulu, HI 96817 | 2018-06-03 |
| 1811496623 | Kimberly Jee Ying Wun | Nurse Practitioner | 860 Iwilei Road, Honolulu, HI 96817 | 2018-02-07 |
| 1144737925 | Cancer Center of Hawaii, LLC | Radiology | 2226 Liliha St, #b2, Honolulu, HI 96817 | 2018-01-03 |
| 1700315355 | Thomas Bishop | Behavioral Analyst | 200 N. Vineyard Blvd. Suite #153, Honolulu, HI 96817 | 2017-06-07 |
| 1760843890 | Kanna Dokgo | Nurse Practitioner | 321 Kuakini St., Honolulu, HI 96817 | 2016-03-17 |
| Find all providers in zip 96817 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548733397 | Kokua Kalihi Valley Comprehensive Family Services | Clinic/Center | 3659 Kalihi St, Honolulu, HI 96819-3038 | 2019-01-04 |
| 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 |
| 1417127507 | Kalihi-palama Health Center | Clinic/Center | 89 S King St, Honolulu, HI 96813 | 2008-03-05 |
| 1508889379 | Kalihi-palama Health Center | Clinic/Center | 904 Kohou St, Honolulu, HI 96817-4420 | 2006-07-25 |
| 1689696395 | Kalihi-palama Health Center | Clinic/Center | 350 Sumner St, Honolulu, HI 96817-5087 | 2006-07-24 |
| 1659393486 | Kalihi-palama Health Center | Clinic/Center | 546 Kaaahi St, Honolulu, HI 96817-4630 | 2006-07-24 |
| 1326068800 | Kalihi-palama Health Center | Clinic/Center | 41 S Beretania St, Honolulu, HI 96813-2220 | 2006-07-20 |
| 1992257851 | Waikiki Health | Clinic/Center | 277 Ohua Ave, Honolulu, HI 96815-6612 | 2016-10-26 |
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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.