WAIMANALO HEALTH CENTER (NPI# 1780738005) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1780738005 |
| Entity Type | Organization |
| Organization Name | WAIMANALO HEALTH CENTER |
| Practice Address |
41-1347 Kalanianaole Hwy Waimanalo HI 96795-1247 |
| Practice Telephone | 8089547107 |
| Practice Fax Number | 8082596449 |
| Mailing Telephone | 8089547107 |
| Mailing Fax Number | 8082596449 |
| Enumeration Date | 2007-01-23 |
| Last Update Date | 2020-10-22 |
| Authorized Official Name | MS. MARY ONEHA (CHIEF EXECUTIVE OFFICER) |
| Authorized Official Telephone | 8089547107 |
| Authorized Official Credential | APRN, PHD, FAAN |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QC1500X |
Clinic/Center Specialization: Community Health |
W20416724-01 | HI | Ambulatory Health Care Facilities |
| Y | 261QF0400X |
Clinic/Center Specialization: Federally Qualified Health Center (FQHC) |
Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | BLUES - HATAKEYAMA | 0000212407 | 01 |
| HI | 0000228100 | 05 | |
| HI | 0007253302 | 05 | |
| HI | BLUES - CUMMINGS | 00C0238901 | 01 |
| HI | BLUES - BHATTACHARYYA | 00D0094351 | 01 |
| HI | 049587 | 05 | |
| HI | HMSA PPO - BHATTACHARYYA | 00D0094351 | 01 |
| HI | 0054794522 | 05 | |
| HI | BLUES - CHAN | 00A0080927 | 01 |
| HI | 0006095000 | 05 | |
| HI | 0055795200 | 05 | |
| HI | BLUES - AGULLANA | 00D0245664 | 01 |
| HI | HMSA - AGULLANA | 00D0245664 | 01 |
| HI | 04958701 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134773344 | Waimanalo Health Center | Pharmacy | 41-1295 Kalanianaole Hwy, Waimanalo, HI 96795 | 2019-07-25 |
| 1427295195 | Waimanalo Health Center | Clinic/Center | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2009-01-16 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | WAIMANALO HEALTH CENTER | 41-1347 Kalanianaole Hwy Ste A, Waimanalo, HI 96795-1247 |
| Street Address |
41-1347 KALANIANAOLE HWY |
| City | WAIMANALO |
| State | HI |
| Zip Code | 96795-1247 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417937830 | Damon F Lee | Family Medicine | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2006-01-20 |
| 1366903395 | Marketa Kletetschkova | Student in an Organized Health Care Education/Training Program | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2019-03-31 |
| 1275037525 | Samin Irfun Huque | Student in an Organized Health Care Education/Training Program | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2018-03-21 |
| 1295139988 | Ryan Takeshi Inouye | Dentist | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2014-10-09 |
| 1326440116 | Nicole Marie Robello Aurellano | Psychologist | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2014-09-23 |
| 1093057473 | Anela Tamashiro | Nurse Practitioner | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2013-03-22 |
| 1013256072 | Desmond Foo | Family Medicine | 41-1347 Kalanianaole Hwy, Kalo Clinic, Waimanalo, HI 96795-1247 | 2013-02-11 |
| 1205114170 | Chelsea K Kalama-kingma | Dietitian, Registered | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2011-07-26 |
| 1063727436 | Deanna N Nakamura | Dietitian, Registered | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2010-08-10 |
| 1750608048 | Melissa-anne Wong | Dietitian, Registered | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2010-04-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1730724345 | Maisa Leilani Thayer | Social Worker | Ho'omau Therapy, LLC 41-038 Wailea Street C, Waimanalo, HI 96795 | 2019-11-07 |
| 1629573902 | Heather Wilde | Behavior Technician | 1-611 Inoaole St, Waimanalo, HI 96795 | 2018-03-28 |
| 1538677455 | Andrea Lawrence | Behavioral Analyst | 41-1611 Inoaole St, Waimanalo, HI 96795 | 2018-01-12 |
| 1992221782 | Rebecca To | Behavioral Analyst | 41-611 Inoaole Street, Waimanalo, HI 96795 | 2017-08-14 |
| 1942657879 | Tammy Chang | Behavioral Analyst | 41-611 Inoaole St, Waimanalo, HI 96795 | 2016-05-20 |
| 1265730576 | Rhonda Linne Waldinger | Acupuncturist | 41-921 Laumilo Street, Waimanalo, HI 96795 | 2011-03-10 |
| 1285870287 | Charlotte Savage | Psychologist | 41-1295 Kalanianaole Hwy, Waimanalo, HI 96795 | 2008-12-21 |
| 1457575763 | France Annie Caires | Contractor | 600, Kailua Rd. #204, #204, Kailua, HI 96795 | 2007-04-11 |
| 1477694339 | Waimanalo Pharmacy Inc | Pharmacy | 41 1610 Kalanianaole Hwy, Waimanalo, HI 96795 | 2007-02-12 |
| 1699836031 | Gerald M B Wong | Dentist | 411537 Kalanianaole Highway, Suite 10b, Waimanalo, HI 96795 | 2006-12-12 |
| Find all providers in zip 96795 | ||||
| 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 |
|---|---|---|---|---|
| 1427295195 | Waimanalo Health Center | Clinic/Center | 41-1347 Kalanianaole Hwy, Waimanalo, HI 96795-1247 | 2009-01-16 |
| 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 | ||||
Please comment or provide details below to improve the information on WAIMANALO HEALTH CENTER.
| 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.