| Ko'olauloa Community Health And Wellness Center, Kahuku Medical | |
|
56-119 Pualalea St. Kahuku HI 96731 | |
| (808) 293-9231 | |
| (808) 293-5390 |
| Full Name | Ko'olauloa Community Health And Wellness Center, Kahuku Medical |
|---|---|
| Speciality | Clinic/Center |
| Location | 56-119 Pualalea St., Kahuku, 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, Kahuku Medical Po Box 395 Kahuku HI 96731 Ph: (808) 293-9231 | Ko'olauloa Community Health And Wellness Center, Kahuku Medical 56-119 Pualalea St. Kahuku HI 96731 Ph: (808) 293-9231 |
| NPI Number | 1528026952 |
|---|---|
| Provider Enumeration Date | 05/03/2006 |
| Last Update Date | 07/05/2022 |
| Medicare PECOS PAC ID | 0941259394 |
|---|---|
| Medicare Enrollment ID | O20050112001130 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1528026952 | NPI | - | NPPES |
| 00C0263800 | Other | HI | KALAMA NIHEU, MD - HMSA (PUALALEA) |
| 00F0052461 | Other | HI | HARRY ASHE, MD - HMSA |
| 00G00228457 | Other | HI | MIRIAM CHANG, MD - HMSA (PUALALEA) |
| 50178505 | Medicaid | HI | |
| 00E0228451 | Other | HI | MIRIAM CHANG, MD - HMSA |
| 00F0228459 | Other | HI | MIRIAM CHANG, MD - HMSA (HAUULA) |
| 00G0052469 | Other | HI | HARRY ASHE, MD - HMSA (HAUULA) |
| 08802105 | Medicaid | HI | |
| 581977 | Medicaid | HI | |
| 00A0250603 | Other | HI | KCHWC - HMSA |
| 00C0228910 | Other | HI | NATIVIDAD HOPEWELL - HMSA |
| 00E0228915 | Other | HI | NATIVIDAD HOPEWELL, APRN - HMSA (PUALALEA) |
| 00H0052467 | Other | HI | HARRY ASHE, MD - HMSA (PUALALEA) |
| 55384302 | Medicaid | HI | |
| 00D0228918 | Other | HI | NATIVIDAD HOPEWELL, APRN - HMSA (HAUULA) |
| 50104005 | Medicaid | HI | |
| 00A0244754 | Other | HI | BRENDA HARPER, APRN-HMSA |
| 00J0205359 | Other | HI | DOUGLAS SUTHERLAND, MD - HMSA (PUALALEA) |
| 0000250605 | Other | HI | KCHWC - HMSA |
| 00B0214839 | Other | HI | GARY PITT, DPM - HMSA |
| 00B0263802 | Other | HI | KALAMA NIHEU, MD - HMSA (HAUULA) |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (Hawaii) | Primary |
| Provider Name | Rodney Yamaki |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1477760452 PECOS PAC ID: 8921277377 Enrollment ID: I20110802000026 |
| Provider Name | Melissa Mei-lin Ching |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1275787137 PECOS PAC ID: 2365675626 Enrollment ID: I20140513000114 |
| Provider Name | Gina Kealohilani Lucas Naipo |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1154792760 PECOS PAC ID: 6103109764 Enrollment ID: I20170207000446 |
| Provider Name | Adrian S Worthen |
|---|---|
| Provider Type | Practitioner - Emergency Medicine |
| Provider Identifiers | NPI Number: 1003264417 PECOS PAC ID: 1355774704 Enrollment ID: I20191126000777 |
| Provider Name | Vincent C Giani |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1023462090 PECOS PAC ID: 3870923717 Enrollment ID: I20200416004042 |
| Provider Name | Danielle T W Lum |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1467562363 PECOS PAC ID: 5890929624 Enrollment ID: I20200421002893 |
| Provider Name | Darren Elton Day |
|---|---|
| Provider Type | Practitioner - Podiatry |
| Provider Identifiers | NPI Number: 1356831820 PECOS PAC ID: 8123423852 Enrollment ID: I20210818003511 |
| Provider Name | Vanessa Lee |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1104547108 PECOS PAC ID: 5294107082 Enrollment ID: I20230203000954 |
Ko'olauloa Community Health And Wellness Center, Rrhc Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 Phone: 808-454-7447 | |
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 | |
Ko'olauloa Community Health And Wellness Center, Kahuku Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56-119 Pualalea St, Kahuku, HI 96731 Phone: 808-293-9231 Fax: 808-293-1511 | |
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 |