| West Hawaii Community Health Center, Inc. | |
|
75-5751 Kuakini Hwy Suite 203 Kailua-kona HI 96740-1752 | |
| (808) 326-3883 | |
| (808) 329-9370 |
| Full Name | West Hawaii Community Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 75-5751 Kuakini Hwy, Kailua-kona, Hawaii |
| Authorized Official Name and Position | Richard J Taaffe (EXECUTIVE DIRECTOR) |
| Authorized Official Contact | 8083265629 |
| 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 96740-1752 Ph: (808) 326-3883 | West Hawaii Community Health Center, Inc. 75-5751 Kuakini Hwy Suite 203 Kailua-kona HI 96740-1752 Ph: (808) 326-3883 |
| NPI Number | 1952335630 |
|---|---|
| Provider Enumeration Date | 07/10/2006 |
| Last Update Date | 09/26/2012 |
| Medicare PECOS PAC ID | 1557389400 |
|---|---|
| Medicare Enrollment ID | O20051109000287 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1952335630 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | (* (Not Available)) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |
| Provider Name | Coral Barrilleaux |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1609006485 PECOS PAC ID: 4486790771 Enrollment ID: I20090929000539 |
| Provider Name | Craig C Stevenson |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1184852584 PECOS PAC ID: 2860473410 Enrollment ID: I20100324000212 |
| Provider Name | Patricia A Hopkins |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1013977388 PECOS PAC ID: 6608902242 Enrollment ID: I20100407000333 |
| Provider Name | Mary Ann K Terminello |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1891026845 PECOS PAC ID: 2961530704 Enrollment ID: I20100514000443 |
| Provider Name | Victoria K Hanes |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164727079 PECOS PAC ID: 7517148422 Enrollment ID: I20110225000293 |
| Provider Name | Serenity Chambers |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1518230069 PECOS PAC ID: 1456516277 Enrollment ID: I20120629000125 |
| Provider Name | Paul Hayward |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1598907867 PECOS PAC ID: 1355591991 Enrollment ID: I20121017000437 |
| Provider Name | Anjalie R Graham |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1821386095 PECOS PAC ID: 4587804943 Enrollment ID: I20130708000308 |
| Provider Name | Heather K Miner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1902126618 PECOS PAC ID: 5597925701 Enrollment ID: I20130718000714 |
| Provider Name | Rachael Hawkins |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1841360906 PECOS PAC ID: 4284876350 Enrollment ID: I20130820000720 |
| Provider Name | Laura J Ankrum |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1548233380 PECOS PAC ID: 5597744870 Enrollment ID: I20140930000005 |
| Provider Name | Naomi Bikle |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1225202906 PECOS PAC ID: 6002049319 Enrollment ID: I20150213001971 |
| Provider Name | Brandon S Kang |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1114302866 PECOS PAC ID: 7810202942 Enrollment ID: I20150818004990 |
| Provider Name | Erin Gail Beasley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1669802310 PECOS PAC ID: 6709009426 Enrollment ID: I20160510001400 |
| Provider Name | Ibid Marisa Nicolaisen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1780036517 PECOS PAC ID: 7911292446 Enrollment ID: I20160823002877 |
| Provider Name | Katherine Knezek May |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285187773 PECOS PAC ID: 1759676950 Enrollment ID: I20160826002255 |
| Provider Name | David Oliver Mccandless |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1104982909 PECOS PAC ID: 1355324484 Enrollment ID: I20170921003505 |
| Provider Name | Aren Thompson |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1730567173 PECOS PAC ID: 1456653484 Enrollment ID: I20181107002888 |
| Provider Name | Audreymae E. Navarro |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1215290390 PECOS PAC ID: 5698008217 Enrollment ID: I20190612002982 |
| Provider Name | Cassandra C Travers |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972154797 PECOS PAC ID: 2466885785 Enrollment ID: I20191127000716 |
| Provider Name | Kiturah Lynn Neppl |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1326604760 PECOS PAC ID: 1759714868 Enrollment ID: I20191204000000 |
| Provider Name | Chandi-nichole Ka'imaili Kiefer |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1851947212 PECOS PAC ID: 5890122964 Enrollment ID: I20200302001757 |
| Provider Name | Rieko Yoneda Barreto |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1982860516 PECOS PAC ID: 2961829106 Enrollment ID: I20200902000806 |
| Provider Name | Suzanne Jones |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063824423 PECOS PAC ID: 8729362769 Enrollment ID: I20200910001959 |
| Provider Name | Angela Lind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861768459 PECOS PAC ID: 7911294889 Enrollment ID: I20210225002728 |
| Provider Name | David Lowry |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1376999672 PECOS PAC ID: 7113210964 Enrollment ID: I20220506000512 |
| Provider Name | Lindsay Sanchez |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174272561 PECOS PAC ID: 9133597842 Enrollment ID: I20221129003445 |
| Provider Name | Michelle Van Druff |
|---|---|
| Provider Type | Practitioner - Certified Nurse Midwife (cnm) |
| Provider Identifiers | NPI Number: 1881236958 PECOS PAC ID: 6103250311 Enrollment ID: I20230607000745 |
| Provider Name | Kimberly A Brown |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1063721934 PECOS PAC ID: 4789042730 Enrollment ID: I20230622003204 |
| Provider Name | Carrie Ip |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1629694609 PECOS PAC ID: 4486013232 Enrollment ID: I20230711002940 |
| Provider Name | Jacquelyn Doxie King |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1447792585 PECOS PAC ID: 4587062559 Enrollment ID: I20230717001614 |
| Provider Name | Kurtyss Kasten |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1467174128 PECOS PAC ID: 1759758675 Enrollment ID: I20230824002580 |
| Provider Name | Carrie L Larsen |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306235825 PECOS PAC ID: 5597064345 Enrollment ID: I20230913003367 |
| Provider Name | Robert Tapley |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1306091061 PECOS PAC ID: 6204972680 Enrollment ID: I20240219003478 |
| Provider Name | Corinne Laurance |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1952397374 PECOS PAC ID: 8022091099 Enrollment ID: I20240220002489 |
| Provider Name | Kalinda Matthews-harris |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1710449442 PECOS PAC ID: 4789029646 Enrollment ID: I20240301000228 |
| Provider Name | Grethen Gamet |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1235909565 PECOS PAC ID: 6507206513 Enrollment ID: I20240424002114 |
Hawaii Health And Weight Loss Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-5870 Walua Rd, Kailua-kona, HI 96740 Phone: 808-323-3107 Fax: 808-323-0012 | |
Jasdo, Inc. Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 73-4330 Keo Keo Street, Kailua-kona, HI 96745 Phone: 808-887-6668 Fax: 808-887-0169 | |
Mary K. Warren, M.d., Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 75-5995 Kuakini Highway, Pottery Terrace #211, Kailua-kona, HI 96740 Phone: 808-329-2500 Fax: 808-334-1808 |