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56-490 Kamehameha Hwy Room R104 Kahuku HI 96731-2200 | |
(808) 293-9216 | |
(808) 293-5390 |
Full Name | |
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Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
Location | 56-490 Kamehameha Hwy, Kahuku, Hawaii |
Authorized Official Name and Position | Terrence H Aratani (CEO) |
Authorized Official Contact | 8087923840 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Po Box 395 Kahuku HI 96731-0395 Ph: (808) 293-9216 | 56-490 Kamehameha Hwy Room R104 Kahuku HI 96731-2200 Ph: (808) 293-9216 |
NPI Number | 1821335837 |
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Provider Enumeration Date | 01/10/2013 |
Last Update Date | 07/05/2022 |
Identifier | Type | State | Issuer |
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1821335837 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
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1223G0001X | Dentist - General Practice | CSDT57 (Hawaii) | Secondary |
261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |