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WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD INC NPI 1730253626


NPI Information

NPI: 1730253626
Provider Name: WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC

Doing Business As: WAIPAHU FAMILY HEALTH CENTER

Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
94-428 MOKUOLA ST
SUITE 108-B
WAIPAHU, HI
ZIP 96797
Phone: (808) 696-7081
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WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC is a federally qualified health center (fqhc) clinic center in Waipahu, HI. WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INC NPI is 1730253626. The provider is registered as an organization entity type.
The provider Is Doing Business As Waipahu Family Health Center.

The provider's business location address is:

94-428 MOKUOLA ST
SUITE 108-B
WAIPAHU, HI
ZIP 96797-396
Phone: (808) 696-7081
Fax: (808) 696-7093

The provider's authorized official is James Z Chen .
The authorized official title is Cfo and has the following contact phone number (808) 697-3300.

The enumeration date for this NPI number is 11/20/2006 and was last updated on 5/12/2021.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1261Q00000XClinic/CenterNo
2261QF0050XClinic/CenterFamily Planning, Non-SurgicalNo
3261QF0400XClinic/CenterFederally Qualified Health Center (FQHC)Yes
4261QM0801XClinic/CenterMental Health (Including Community Mental Health Center)No
5261QM1300XClinic/CenterMulti-SpecialtyNo
6261QP2300XClinic/CenterPrimary CareNo

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
100934901MEDICAIDHAWAII

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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