| West Hawaii Community Health Center, Inc. | |
|
74-5214 Keanalehu Dr Kailua Kona HI 96740 | |
| (808) 326-3883 | |
| Not Available |
| Full Name | West Hawaii Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 74-5214 Keanalehu Dr, Kailua Kona, Hawaii |
| Authorized Official Name and Position | Richard J Taaffe (CEO) |
| Authorized Official Contact | 8083263883 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| West Hawaii Community Health Center, Inc. 75-5751 Kuakini Hwy Ste 203 Kailua Kona HI 96740-1753 Ph: () - | West Hawaii Community Health Center, Inc. 74-5214 Keanalehu Dr Kailua Kona HI 96740 Ph: (808) 326-3883 |
| NPI Number | 1053703066 |
|---|---|
| Provider Enumeration Date | 02/27/2015 |
| Last Update Date | 09/13/2023 |
| Medicare PECOS PAC ID | 1557389400 |
|---|---|
| Medicare Enrollment ID | O20150417001762 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1053703066 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
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