KA HOAILONA RURAL HEALTH CLINIC (NPI# 1982978904) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982978904 |
| Entity Type | Organization |
| Organization Name | KA HOAILONA RURAL HEALTH CLINIC |
| Practice Address |
107b Ala Malama St Kaunakakai HI 96748 |
| Mailing Address |
Po Box 1509 Kaunakakai HI 96748-1509 |
| Practice Telephone | 8085534368 |
| Practice Fax Number | 8883882307 |
| Mailing Telephone | 8085534368 |
| Mailing Fax Number | 8883882307 |
| Enumeration Date | 2012-03-08 |
| Last Update Date | 2015-01-14 |
| Authorized Official Name | MS. MARY LOUISE HOFFMAN (OWNER) |
| Authorized Official Telephone | 80855343668 |
| Authorized Official Credential | FNP |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 363LF0000X |
Nurse Practitioner Specialization: Family |
865 | HI | Physician Assistants & Advanced Practice Nursing Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | MEDICARE PTAN | FW296A | 01 |
| Street Address |
107B ALA MALAMA ST |
| City | KAUNAKAKAI |
| State | HI |
| Zip Code | 96748 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215101001 | Mary Louise Hoffman | Nurse Practitioner | 107b Ala Malama St, Kaunakakai, HI 96748 | 2008-04-14 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265056154 | Molokai Physical Therapy & Rehabilitation LLC | Clinic/Center | 109 Ala Malama St Unit A, Kaunakakai, HI 96748 | 2020-06-05 |
| 1053953612 | Natalie Luczon | Massage Therapist | 30 Oki Pl, Kaunakakai, HI 96748 | 2019-10-15 |
| 1346753712 | Hawaii Life Flight, LLC | Ambulance | 317 Ilio Road, Kaunakakai, HI 96748 | 2017-11-08 |
| 1285008565 | Dino Akai | Nurse Practitioner | 30 Oki Pl., Kaunakakai, HI 96748 | 2015-11-24 |
| 1730567181 | Pakolea Rehab | Residential Treatment Facility, Physical Disabilities | 2 Kamoi St, Suite 300, Kaunakakai, HI 96748 | 2015-05-18 |
| 1366843740 | Dean K Chow | Chiropractor | 101 Ala Malama St Ste 103, Kaunakakai, HI 96748 | 2014-09-04 |
| 1427491448 | Genevieve F Correa | Physical Therapist | 93 Ala Malama Ave, Building B Unit A, Kaunakakai, HI 96748 | 2013-04-09 |
| 1679800882 | Ka Hale Pomaika'i | Community/Behavioral Health | Hc-01 Box 372 Kamehameha V Hwy, Ualapu'e, HI 96748 | 2009-11-09 |
| 1811222854 | Chris K Chow Dds Inc | Dentist | 15 Kaunakakai Pl, Suite 6, Kaunakakai, HI 96748 | 2009-10-08 |
| 1669605598 | Hale Ho'okupa'a | Community/Behavioral Health | 450 Ala Malama Avenue, Kaunakakai, HI 96748 | 2009-08-26 |
| Find all providers in zip 96748 | ||||
| Taxonomy Code | 363LF0000X |
| Grouping | Physician Assistants & Advanced Practice Nursing Providers |
| Classification | Nurse Practitioner |
| Specialization | Family |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285008565 | Dino Akai | Nurse Practitioner | 30 Oki Pl., Kaunakakai, HI 96748 | 2015-11-24 |
| 1215101001 | Mary Louise Hoffman | Nurse Practitioner | 107b Ala Malama St, Kaunakakai, HI 96748 | 2008-04-14 |
| 1457883209 | Dara Pagaduan | Nurse Practitioner | 30 Oki Place, Kaunakakai, HI 96748 | 2017-03-31 |
| 1164813184 | Ty Joo Mccomas | Nurse Practitioner | 30 Oki Place, Kaunakakai, HI 96748 | 2015-02-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629678123 | Veronica Alexis Barroga | Nurse Practitioner | 99-705 Holoai St, Aiea, HI 96701-3581 | 2020-10-26 |
| 1477150837 | Jonathan Keeming Cheng | Nurse Practitioner | 46-304 Ahui Nani Pl, Kaneohe, HI 96744-4054 | 2020-10-07 |
| 1255947685 | Carly Paige Aldag | Nurse Practitioner | 14 Aulike St Apt 804, Kailua, HI 96734-2744 | 2020-09-21 |
| 1598370439 | Marina Nogues | Nurse Practitioner | 3901b Maunahilu Pl, Honolulu, HI 96816 | 2020-09-08 |
| 1215541644 | Kristen Ashtley Simon | Nurse Practitioner | 91-1020 Makaike St, Ewa Beach, HI 96706-5111 | 2020-09-02 |
| 1417568098 | Marisa Takiguchi | Nurse Practitioner | 1329 Lusitana St Ste 109, Honolulu, HI 96813-2401 | 2020-08-16 |
| 1538770631 | Kara Emi Yoshida | Nurse Practitioner | 1516 Hoolehua St, Pearl City, HI 96782-1727 | 2020-08-12 |
| 1750992806 | Tammy M Mckee | Nurse Practitioner | 66-345 Kaamooloa Rd Apt F, Waialua, HI 96791-9702 | 2020-08-12 |
| 1093326530 | Chloe Bonnie Yester | Nurse Practitioner | 59-401a Kam Hwy, Haleiwa, HI 96712 | 2020-08-10 |
| 1588273759 | Terri-ann Davis | Nurse Practitioner | 91-1752 Puhiko St, Ewa Beach, HI 96706-4838 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | KAUNAKAKAI |
| Zip Code | 96748 |
Please comment or provide details below to improve the information on KA HOAILONA RURAL HEALTH CLINIC.
| 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.