Hamakua Kohala Health | |
53-3925 Akoni Pule Hwy Kohala Family Health Center Kapa'au HI 96755 | |
(808) 889-6236 | |
(808) 889-0107 |
Full Name | Hamakua Kohala Health |
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Speciality | Clinic/Center |
Location | 53-3925 Akoni Pule Hwy, Kapa'au, Hawaii |
Authorized Official Name and Position | Irene J Carpenter (CEO) |
Authorized Official Contact | 8087757204 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Hamakua Kohala Health 45-549 Plumeria St Honokaa HI 96727-6902 Ph: (808) 775-7204 | Hamakua Kohala Health 53-3925 Akoni Pule Hwy Kohala Family Health Center Kapa'au HI 96755 Ph: (808) 889-6236 |
NPI Number | 1093868416 |
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Provider Enumeration Date | 01/19/2007 |
Last Update Date | 01/09/2023 |
Medicare PECOS PAC ID | 8325940885 |
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Medicare Enrollment ID | O20061227000367 |
Identifier | Type | State | Issuer |
---|---|---|---|
1093868416 | NPI | - | NPPES |
51864901 | Medicaid | HI |
Taxonomy | Type | License (State) | Status |
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261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |