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56-119 Pualalea St Kahuku HI 96731-2052 | |
| (808) 293-9231 | |
| (808) 293-1511 |
| Full Name | |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 56-119 Pualalea St, 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 |
|---|---|
Po Box 395 Kahuku HI 96731-0395 Ph: (808) 293-9216 | 56-119 Pualalea St Kahuku HI 96731-2052 Ph: (808) 293-9231 |
| NPI Number | 1275820201 |
|---|---|
| Provider Enumeration Date | 06/28/2011 |
| Last Update Date | 07/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1275820201 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
Kaiser Foundation Health Plan, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56-565 Kamehameha Hwy, Kahuku, HI 96731 Phone: 808-432-3900 | |
Kahuku Medical Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56-117 Pualalea St, Kahuku, HI 96731 Phone: 808-293-6269 Fax: 808-293-1574 |