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).
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 |
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 |
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 Name | Type Code |
---|---|
KCHWC | Other Name - Individual/Organization |
Ko'olauloa Community Health and Wellness Center, Kahuku Medical | Doing Business As Name - Organization |
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 |
Street Address |
56-119 PUALALEA ST. |
City | KAHUKU |
State | HI |
Zip Code | 96731 |
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 Code | 261QF0400X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Federally Qualified Health Center (FQHC) |
Definition to come... |
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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---|---|---|---|---|
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 |
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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.