KAHUKU MEDICAL CENTER (NPI# 1639666233) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1639666233 |
Entity Type | Organization |
Organization Name | KAHUKU MEDICAL CENTER |
Other Organization Name | THE CLINIC IN HALEIWA |
Practice Address |
66-214 Haleiwa Rd Haleiwa HI 96712-1510 |
Mailing Address |
56-117 Pualalea St Kahuku HI 96731-2052 |
Practice Telephone | 8082939221 |
Mailing Telephone | 8082939221 |
Enumeration Date | 2018-04-18 |
Last Update Date | 2019-06-11 |
Authorized Official Name | MRS. RACHEL ANN CRISTOBAL (DIRECTOR OF REVENUE CYCLE) |
Authorized Official Telephone | 8082936269 |
Is Organization Subpart | Y |
Parent Organization Name | KAHUKU MEDICAL CENTER |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 207Q00000X | Family Medicine | Allopathic & Osteopathic Physicians |
State | Issuer | Identifier | Type Code |
---|---|---|---|
HI | DM527A | 05 |
Other Name | Type Code |
---|---|
The Clinic in Haleiwa | Doing Business As Name - Organization |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720691926 | Kahuku Medical Center | Clinic/Center | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2020-08-26 |
1780125179 | Kahuku Medical Center | Clinic/Center | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-17 |
1881858447 | Kahuku Medical Center | Medicare Defined Swing Bed Unit | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2008-07-14 |
1730360934 | Kahuku Medical Center | Pharmacy | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-11-16 |
1902087109 | Kahuku Medical Center | Specialist | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-11-16 |
1225228687 | Kahuku Medical Center | Nursing Facility/Intermediate Care Facility | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-07-31 |
1245430065 | Kahuku Medical Center | General Acute Care Hospital | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-07-19 |
Street Address |
66-214 HALEIWA RD |
City | HALEIWA |
State | HI |
Zip Code | 96712-1510 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1720691926 | Kahuku Medical Center | Clinic/Center | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2020-08-26 |
1629025242 | Virginia A Abshier | Internal Medicine | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2006-05-28 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1093326530 | Chloe Bonnie Yester | Nurse Practitioner | 59-401a Kam Hwy, Haleiwa, HI 96712 | 2020-08-10 |
1558927194 | Team Care Clinical Services, LLC | Community/Behavioral Health | 66-434 Kamehameha Hwy Ste B, Haleiwa, HI 96712 | 2019-05-17 |
1740722198 | Holdsambeck & Associates | Behavioral Analyst | 66-437 Kamehameha Hwy #95, Suite 300, Haleiwa, HI 96712 | 2016-11-15 |
1902264955 | Haleiwa Physical Therapy LLC | Clinic/Center | 66-590 Kamehameha Hwy Ste. 2f, Haleiwa, HI 96712 | 2016-02-05 |
1215348230 | Haleiwa Chiropractic Clinic, Inc. | Chiropractor | 66-560 Kamehameha Hwy., Suite 5, Haleiwa, HI 96712 | 2014-05-13 |
1972931517 | Julie Elersich | Massage Therapist | 66-008 A Kamehemeha Hwy, Haleiwa, HI 96712 | 2013-10-17 |
1639401375 | Autism Behavior Consulting Group, Inc | Community/Behavioral Health | 66-434 Kamehameha Highway, Haleiwa, HI 96712 | 2010-02-05 |
1235466848 | Paula Suzanne Cole | Acupuncturist | 59-229b Ke Nui Road, Haleiwa, HI 96712 | 2009-11-03 |
1942435441 | Dawn Kiyomi Kuriyama | Family Medicine | 66125 Kamehameha Hwy, Haleiwa, HI 96712 | 2009-05-27 |
1730345190 | Waikiki Health Center | Clinic/Center | 66-090 Kamehameha Hwy, Queen Liluokalani Protestant Church, Haleiwa, HI 96712 | 2008-08-04 |
Find all providers in zip 96712 |
Taxonomy Code | 207Q00000X |
Grouping | Allopathic & Osteopathic Physicians |
Classification | Family Medicine |
Family Medicine is the medical specialty which is concerned with the total health care of the individual and the family. It is the specialty in breadth which integrates the biological, clinical, and behavioral sciences. The scope of family medicine is not limited by age, sex, organ system, or disease entity. |
Notes: Source: American Board of Family Medicine [1/1/2007: changed title; 7/1/2007: added definition, added source; 7/1/2017: modified definition] - Note: The American Osteopathic Board of Family Physicians certification includes extensive use of Osteopathic Manipulative Treatment (OMT), which integrates the biological, clinical, and behavioral sciences. - Additional Resources: American Board of Family Medicine, www.theabfm.org. American Osteopathic Board of Family Physicians, www.osteopathic.org/certification - Board certification for Medical Doctors (MDs) is provided by the American Board of Family Medicine. Board certification for Doctors of Osteopathy (DOs) is provided by the American Osteopathic Board of Family Physicians or the American Board of Family Medicine. |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1942435441 | Dawn Kiyomi Kuriyama | Family Medicine | 66125 Kamehameha Hwy, Haleiwa, HI 96712 | 2009-05-27 |
1346307097 | Leland Henry Dao | Family Medicine | 66-150 Kamehameha Hwy, Haleiwa, HI 96712-1440 | 2007-01-02 |
1891895629 | Thornton Vern Dilcher | Family Medicine | 66-037 Kamehameha Hwy Ste 103, Haleiwa, HI 96712-1415 | 2006-09-22 |
1881905388 | Masahisa Amano | Family Medicine | 66-125 Kamehameha Hwy, Haleiwa Family Health Center, Haleiwa, HI 96712-1601 | 2010-06-29 |
1952445009 | Haleiwa Family Clinic, Inc. | Family Medicine | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1420 | 2007-02-20 |
1053483099 | Randall Suzuka | Family Medicine | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1420 | 2006-11-14 |
1376613158 | Vanessa Mae Agsalda-rosenbush | Family Medicine | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1420 | 2006-11-08 |
1578679668 | Summer Reiko Teruya | Family Medicine | 66-125 Kamehameha Hwy, Haleiwa, HI 96712-1420 | 2006-08-22 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1225657307 | Healing Tides Primary Care LLC | Family Medicine | 1110 Nuuanu Ave # A1-182, Honolulu, HI 96817-5119 | 2020-04-09 |
1417597063 | Krissy Nichole English | Family Medicine | 65-1116 Hokuula Rd, Kamuela, HI 96743-8355 | 2020-01-12 |
1184288102 | Yoonhwan Roh | Family Medicine | 95-390 Kuahelani Ave # J1, Mililani, HI 96789-1192 | 2019-04-24 |
1427514645 | Ohana Pacific Medical LLC | Family Medicine | 94-1221 Ka Uka Blvd Unit 108-166, Waipahu, HI 96797-6202 | 2019-02-12 |
1265902555 | Liana Tsuruko Kobayashi | Family Medicine | 98-1005 Moanalua Rd Spc 3030, Aiea, HI 96701-4735 | 2018-11-28 |
1508332610 | Jasdo, Inc. | Family Medicine | 73-4330 Keo Keo Street, Kailua-kona, HI 96745 | 2018-10-16 |
1124506845 | Big Island Family Medicine Inc | Family Medicine | 670 Ponahawai St Ste 207, Hilo, HI 96720-7830 | 2018-08-03 |
1669961322 | Micah David | Family Medicine | 1188 Bishop St Ste 802a, Honolulu, HI 96813-3303 | 2018-05-08 |
1033627930 | Bridget Collins, Md, LLC | Family Medicine | 3175 Elua St Ste C, Lihue, HI 96766-1203 | 2018-01-14 |
1033640297 | Amy Guyton | Family Medicine | 4643 Waimea Canyton Dr., Waimea, HI 96796 | 2017-03-21 |
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.