KO'OLAULOA HEALTH CENTER


Address: 56-119 Pualalea St., Kahuku, HI 96731
Phone: 8082939231

KO'OLAULOA HEALTH CENTER (NPI# 1528026952) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1528026952
Entity Type Organization
Organization Name KO'OLAULOA HEALTH CENTER
Other Organization Name KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, KAHUKU MEDICAL
Practice Address 56-119 Pualalea St.
Kahuku
HI 96731
Mailing Address Po Box 395
Kahuku
HI 96731
Practice Telephone 8082939231
Practice Fax Number 8082935390
Mailing Telephone 8082939231
Mailing Fax Number 8082935390
Enumeration Date 2006-05-03
Last Update Date 2019-08-19
Authorized Official Name TERRENCE H ARATANI (CEO)
Authorized Official Telephone 8087923840
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QF0400X Clinic/Center
Specialization: Federally Qualified Health Center (FQHC)
HI Ambulatory Health Care Facilities

Other Provider Identifier

State Issuer Identifier Type Code
HI MIRIAM CHANG, MD - HMSA (HAUULA) 00F0228459 01
HI HARRY ASHE, MD - HMSA (HAUULA) 00G0052469 01
HI 50178505 05
HI NATIVIDAD HOPEWELL, APRN - HMSA (HAUULA) 00D0228918 01
HI KALAMA NIHEU, MD - HMSA (PUALALEA) 00C0263800 01
HI DOUGLAS SUTHERLAND, MD - HMSA (PUALALEA) 00J0205359 01
HI GARY PITT, DPM - HMSA 00B0214839 01
HI HARRY ASHE, MD - HMSA 00F0052461 01
HI KCHWC - HMSA 00A0250603 01
HI NATIVIDAD HOPEWELL - HMSA 00C0228910 01
HI MIRIAM CHANG, MD - HMSA (PUALALEA) 00G00228457 01
HI MIRIAM CHANG, MD - HMSA 00E0228451 01
HI 08802105 05
HI 55384302 05
HI 581977 05
HI KCHWC - HMSA 0000250605 01
HI BRENDA HARPER, APRN-HMSA 00A0244754 01
HI KALAMA NIHEU, MD - HMSA (HAUULA) 00B0263802 01
HI NATIVIDAD HOPEWELL, APRN - HMSA (PUALALEA) 00E0228915 01
HI HARRY ASHE, MD - HMSA (PUALALEA) 00H0052467 01
HI 50104005 05

Other Provider/Organization Names

Other Name Type Code
KCHWC Other Name - Individual/Organization
Ko'olauloa Community Health and Wellness Center, Kahuku Medical Doing Business As Name - Organization

Other Provider IDs and Locations

NPI Name Taxonomy Address Enumeration
1063766079 Ko'olauloa Health Center Clinic/Center 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 2012-10-30
1063833655 Ko'olauloa Health Center Clinic/Center 54-316 Kamehameha Hwy, Hauula, HI 96717 2013-12-27
1821335837 Ko'olauloa Health Center Dentist 56-490 Kamehameha Hwy, Room R104, Kahuku, HI 96731-2200 2013-01-10
1275820201 Ko'olauloa Health Center Clinic/Center 56-119 Pualalea St, Kahuku, HI 96731-2052 2011-06-28
1235442849 Ko'olauloa Health Center Pharmacy 56-119 Pualalea St, Kahuku, HI 96731-2052 2010-07-23

Office Location

Street Address 56-119 PUALALEA ST.
City KAHUKU
State HI
Zip Code 96731

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1174149405 Teniiti Taie Burennatu Counselor 55-660 Kamehameha Hwy, Kahuku, HI 96731 2020-06-23
1568909109 Maia Miller Specialist/Technologist 46-590 Kamehameha Hwy, Kahuku High School, Kahuku, HI 96731 2017-01-20
1063766079 Ko'olauloa Health Center Clinic/Center 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 2012-10-30
1295097830 Kerry Saitia Moea'i Social Worker 56-395 Huehu St., Kahuku, HI 96731 2012-06-11
1114194073 Jason Hughes Internal Medicine 56-117 Pualalea Street, Kahuku, HI 96731 2008-05-09
1942341318 Kaiser Foundation Health Plan Inc Pharmacy 56 700 Kamehameha Highway, Kahuku, HI 96731 2007-02-09
1659438281 Carol Francine Green Social Worker 56 565 Kamehameha Hwy, Kahuku, HI 96731 2007-01-02
1578508602 Douglas A Sutherland Pediatrics 56 119 Pualalea St, Kahuku, HI 96731 2006-06-20
1144683012 Tara Reed Internal Medicine 56-119 Pualalea St, Kahuku, HI 96731 2016-03-30
1336438126 Marie Veronica Yagin Registered Nurse 56-660 Kamehameha Hwy, Kahuku, HI 96731 2011-04-01
Find all providers in zip 96731

Taxonomy Information

Taxonomy Code 261QF0400X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Federally Qualified Health Center (FQHC)

Taxonomy Definition

Definition to come...

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1063766079 Ko'olauloa Health Center Clinic/Center 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 2012-10-30
1275820201 Ko'olauloa Health Center Clinic/Center 56-119 Pualalea St, Kahuku, HI 96731-2052 2011-06-28

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NPI Name Taxonomy Address Enumeration
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
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
1730345190 Waikiki Health Center Clinic/Center 66-090 Kamehameha Hwy, Queen Liluokalani Protestant Church, Haleiwa, HI 96712 2008-08-04
Find all providers with the same taxonomy

Competitor

Search similar providers

City KAHUKU
Zip Code 96731

Improve Information

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Dataset Information

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.

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