WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED (NPI# 1780876151) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780876151 |
| Entity Type | Organization |
| Organization Name | WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED |
| Other Organization Name | MALAMA RECOVERY SERVICES |
| Practice Address |
89-188 Farrington Hwy Waianae HI 96792-4101 |
| Mailing Address |
86-260 Farrington Hwy Waianae HI 96792-3128 |
| Practice Telephone | 8086967081 |
| Practice Fax Number | 8086967093 |
| Mailing Telephone | 8086967081 |
| Mailing Fax Number | 8086967093 |
| Enumeration Date | 2007-08-09 |
| Last Update Date | 2007-08-09 |
| Authorized Official Name | MR. JAMES Z CHEN (CFO) |
| Authorized Official Telephone | 8086967081 |
| Is Organization Subpart | Y |
| Parent Organization Name | WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORP |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities | ||
| N | 261QM0801X |
Clinic/Center Specialization: Mental Health (Including Community Mental Health Center) |
Ambulatory Health Care Facilities | ||
| N | 261QR0405X |
Clinic/Center Specialization: Rehabilitation, Substance Use Disorder |
Ambulatory Health Care Facilities | ||
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Malama Recovery Services | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1467070151 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 89-102 Farrington Hwy Ste 3000, Waianae, HI 96792-4101 | 2020-07-08 |
| 1578030433 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinical Medical Laboratory | 87-2070 Farrington Hwy Ste N, Waianae, HI 96792-3756 | 2018-10-30 |
| 1093282964 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinical Medical Laboratory | 86-120 Farrington Hwy Ste C305a, Waianae, HI 96792-3072 | 2018-10-30 |
| 1407252497 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinic/Center | 95-257 Kaloapau St, Mililani, HI 96789-1252 | 2014-11-18 |
| 1639511322 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinic/Center | 85-180 Ala Akau St, Waianae, HI 96792-2323 | 2013-07-23 |
| 1194956839 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinic/Center | 858 Second St, Pearl City, HI 96782-3342 | 2009-07-29 |
| 1093880627 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinic/Center | 87-2070 Farrington Hwy, James & Abigail Campbell Clinic, Nanakuli, HI 96792 | 2006-11-21 |
| 1053888917 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinical Medical Laboratory | 91-1841 Fort Weaver Rd, Ewa Beach, HI 96706-1909 | 2018-10-30 |
| 1831666700 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinical Medical Laboratory | 599 Farrington Hwy Ste 100, Kapolei, HI 96707-2028 | 2018-10-30 |
| Street Address |
89-188 FARRINGTON HWY |
| City | WAIANAE |
| State | HI |
| Zip Code | 96792-4101 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235401266 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Clinic/Center | 89-188 Farrington Hwy, Waianae, HI 96792-4124 | 2012-02-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730707324 | Waianae District Comprehensive Health and Hospital Board, Incorporated | Pharmacy | 86-032 Farrington Hwy., Suite 101, Waiana, HI 96792 | 2020-07-09 |
| 1457992786 | Longs Drug Store California LLC | Durable Medical Equipment & Medical Supplies | 89-102 Farrington Highway, Unit 4, Waianae, HI 96792 | 2019-10-08 |
| 1346742319 | Waianae District Comprehensive Health and Hospital Board, Inc | Clinic/Center | 89-980 Nanakuli Ave, Waianae, HI 96792 | 2018-03-06 |
| 1366941064 | Longs Drug Stores California, L.L.C. | Durable Medical Equipment & Medical Supplies | 84-1160 Farrington Highway, Waianae, HI 96792 | 2018-02-08 |
| 1992167720 | Regan Dean Gabriel Jr. | Massage Therapist | 85-779waianae Valley Rd #b, Waianae, HI 96792 | 2016-03-22 |
| 1962887315 | Eucabeth A Kilonzo | Nurse Practitioner | Waianae Coast Comprehensive Health Center, 86-260 Farrington Hwy, Waianae, HI 96792 | 2015-07-28 |
| 1194134395 | Moana Gaspar | Counselor | 86-088 Farrington Hwy Suite #7, Waianae, HI 96792 | 2014-08-13 |
| 1245507912 | Cynthia Delores King | Dietitian, Registered | 88-688 Ala Mahiku St, 33 #157c, Waianae, HI 96792 | 2011-11-24 |
| 1558591156 | Kyle Y Oroku | Optometrist | 86 120 Farrington Highway, Suite C301, Waianae, HI 96792 | 2009-07-17 |
| 1285862946 | Nestor Cortez Herana Jr. | Internal Medicine | 86-260 Farrington Hwy, Malama Ola Clinic, Waianae Coast Comprehensive Health Center, Waianae, HI 96792 | 2009-07-01 |
| Find all providers in zip 96792 | ||||
| Taxonomy Code | 261QF0400X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Federally Qualified Health Center (FQHC) |
| Definition to come... |
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| 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 | ||||
Please comment or provide details below to improve the information on WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED.
| 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.