KO'OLAULOA HEALTH CENTER (NPI# 1063833655) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063833655 |
| Entity Type | Organization |
| Organization Name | KO'OLAULOA HEALTH CENTER |
| Other Organization Name | KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL |
| Practice Address |
54-316 Kamehameha Hwy Hauula HI 96717 |
| Mailing Address |
P.o. Box 395 Kahuku HI 96731 |
| Practice Telephone | 8082939216 |
| Mailing Telephone | 8082939216 |
| Mailing Fax Number | 8082935390 |
| Enumeration Date | 2013-12-27 |
| Last Update Date | 2019-08-20 |
| Authorized Official Name | TERRENCE H ARATANI (CEO) |
| Authorized Official Telephone | 8087923840 |
| Is Organization Subpart | Y |
| Parent Organization Name | KO'OLAULOA HEALTH CENTER |
| 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 | PTAN | 121842 | 01 |
| Other Name | Type Code |
|---|---|
| KCHWC | Other Name - Individual/Organization |
| Ko'olauloa Community Health and Wellness Center, Hauula 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 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 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 |
54-316 KAMEHAMEHA HWY |
| City | HAUULA |
| State | HI |
| Zip Code | 96717 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225220189 | Lisa Mary Doreen Ortiz | Massage Therapist | 54-316 Kamehameha Hwy, Suite 7, Hauula, HI 96717-9539 | 2007-08-15 |
| 1609210673 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 54-316 Kamehameha Hwy, Hauula, HI 96717-9539 | 2013-04-22 |
| 1922377100 | Joachin Kaaihue | Marriage & Family Therapist | 54-316 Kamehameha Hwy, Hauula, HI 96717-9539 | 2011-12-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205453602 | Jbishop, LLC | Behavior Technician | 53-378 Kamehameha Hwy. Apt V, Hauula, HI 96717 | 2020-07-01 |
| 1770046674 | Neil O Annandale | Psychologist | 54-242b Honomu Street, Hauula, HI 96717 | 2019-04-09 |
| 1902358641 | Hollie Renee Seward | Nurse Practitioner | 54-316 Kamehameha Hwy Ste 6, Hauula, HI 96717 | 2016-10-28 |
| 1720377534 | Brighton Rehabilitation LLC | Occupational Therapist | 53-394 Kamehameha Hwy, Hauula, HI 96717 | 2011-04-01 |
| 1851561542 | Efren D Baria Md Inc | Anesthesiology | 54-288 Kawaipuna Place, Hauula, HI 96717 | 2008-03-10 |
| 1679756563 | State of Hawaii Department of Health | Community/Behavioral Health | 54-010 Kukuna Road, Hauula, HI 96717 | 2007-12-13 |
| 1063694594 | Frank J Macali | Physician Assistant | 54-014 Kukuna St Apt B, Hauula, HI 96717-8611 | 2007-11-27 |
| 1407268899 | Brandi K.c. Crawford | Social Worker | 54-137 Kawaipuna St, Hauula, HI 96717-9511 | 2014-05-20 |
| 1871649178 | Rachel Harue Bingue | Nurse Practitioner | 54-237 Kamehameha Hwy, Hauula, HI 96717-9522 | 2007-01-27 |
| 1639794332 | Kara Kaneshiro | Pharmacist | 54-316 Kamehameha Hwy Ste 102, Hauula, HI 96717-9539 | 2020-06-09 |
| Find all providers in zip 96717 | ||||
| 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 |
|---|---|---|---|---|
| 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.