| Kokua Kalihi Valley Comprehensive Family Services | |
|
2229 N School St Honolulu HI 96819-2588 | |
| (808) 791-9400 | |
| (808) 848-0979 |
| Full Name | Kokua Kalihi Valley Comprehensive Family Services |
|---|---|
| Speciality | Clinic/Center |
| Location | 2229 N School St, Honolulu, Hawaii |
| Authorized Official Name and Position | David D Derauf (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8087919400 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kokua Kalihi Valley Comprehensive Family Services 2239 N School St Honolulu HI 96819-2539 Ph: (808) 791-9400 | Kokua Kalihi Valley Comprehensive Family Services 2229 N School St Honolulu HI 96819-2588 Ph: (808) 791-9400 |
| NPI Number | 1548521164 |
|---|---|
| Provider Enumeration Date | 05/30/2012 |
| Last Update Date | 11/25/2014 |
| Medicare PECOS PAC ID | 0547258741 |
|---|---|
| Medicare Enrollment ID | O20120719000288 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1548521164 | NPI | - | NPPES |
| 121847 | Other | HI | MEDICARE ID |
| 697336 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Hawaii) | Primary |
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