WAIMANALO HEALTH CENTER NPI 1780738005

NPI Information

NPI: 1780738005
Provider Name: WAIMANALO HEALTH CENTER
Classification: Clinic/Center - 261QF0400X
Entity Type: Organization

Specialization: Federally Qualified Health Center (FQHC)

Address:
41-1347 KALANIANAOLE HWY
WAIMANALO, HI
ZIP 96795
Phone: (808) 954-7107
Get Directions

WAIMANALO HEALTH CENTER is a federally qualified health center (fqhc) clinic center in Waimanalo, HI. WAIMANALO HEALTH CENTER NPI is 1780738005. The provider is registered as an organization entity type.

The provider's business location address is:

41-1347 KALANIANAOLE HWY
WAIMANALO, HI
ZIP 96795-247
Phone: (808) 954-7107
Fax: (808) 259-6449

The provider's authorized official is Mary Oneha .
The authorized official title is Chief Executive Officer and has the following contact phone number (808) 954-7107.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 10/22/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QC1500X	Clinic/Center	Community Health	W20416724-01	HAWAII	No
2	261QF0400X	Clinic/Center	Federally Qualified Health Center (FQHC)			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	0000212407	OTHER	HAWAII	BLUES - HATAKEYAMA
2	0000228100	MEDICAID	HAWAII
3	0007253302	MEDICAID	HAWAII
4	00C0238901	OTHER	HAWAII	BLUES - CUMMINGS
5	00D0094351	OTHER	HAWAII	BLUES - BHATTACHARYYA
6	049587	MEDICAID	HAWAII
7	00D0094351	OTHER	HAWAII	HMSA PPO - BHATTACHARYYA
8	0054794522	MEDICAID	HAWAII
9	00A0080927	OTHER	HAWAII	BLUES - CHAN
10	0006095000	MEDICAID	HAWAII
11	0055795200	MEDICAID	HAWAII
12	00D0245664	OTHER	HAWAII	BLUES - AGULLANA
13	00D0245664	OTHER	HAWAII	HMSA - AGULLANA
14	04958701	MEDICAID	HAWAII

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

NPI Synchronization or Removal

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