| Ko'olauloa Community Health And Wellness Center, Hauula Medical | |
|
54-316 Kamehameha Hwy Hauula HI 96717 | |
| (808) 293-9216 | |
| Not Available |
| Full Name | Ko'olauloa Community Health And Wellness Center, Hauula Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 54-316 Kamehameha Hwy, Hauula, Hawaii |
| Authorized Official Name and Position | Terrence H Aratani (CEO) |
| Authorized Official Contact | 8087923840 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Ko'olauloa Community Health And Wellness Center, Hauula Medical P.o. Box 395 Kahuku HI 96731 Ph: (808) 293-9216 | Ko'olauloa Community Health And Wellness Center, Hauula Medical 54-316 Kamehameha Hwy Hauula HI 96717 Ph: (808) 293-9216 |
| NPI Number | 1063833655 |
|---|---|
| Provider Enumeration Date | 12/27/2013 |
| Last Update Date | 07/05/2022 |
| Medicare PECOS PAC ID | 0941259394 |
|---|---|
| Medicare Enrollment ID | O20110218000884 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1063833655 | NPI | - | NPPES |
| 121842 | Other | HI | PTAN |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Hawaii) | Primary |
Ohana Care Chiropractic Llc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 54-063 Hauula Homestead Rd, Unit C, Hauula, HI 96717 Phone: 808-391-4064 |