Organization · Type 2 NPI

West Hawaii Community Health Center, Inc.

Federally Qualified Health Center (FQHC) · Keaau, HI

NPI number 1104874619 Active

Practice location

16-192 Pili Mua St
Keaau, HI 96749-8134

Call (808) 930-0400 Map

Fax (808) 961-5678

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753

Specialties and licenses

Taxonomy	Code	License
Federally Qualified Health Center (FQHC) Primary	261QF0400X	None listed

Federally Qualified Health Center (FQHC): Definition to come...

15 other providers at this address

NPI record

NPI: 1104874619
Entity type: Organization (Type 2)
Issued: May 5, 2006
Last updated: Sep 12, 2023
Status: Active

Other names

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Hawaii Island Community Health Center · doing business as
Kea'au Family Health and Dental · other name

Authorized official

Richard J Taaffe
CEO
(808) 326-3884

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1104874619

West Hawaii Community Health Center, Inc.'s National Provider Identifier is 1104874619, issued on May 5, 2006. The primary taxonomy on file is Federally Qualified Health Center (FQHC) (261QF0400X), and the practice location is in Keaau, HI. The record was last updated on Sep 12, 2023.