| Ko Olauloa Health Center | |
|
56-490 Kamehameha Hwy Room R104 Kahuku HI 96731-2200 | |
| (808) 293-9216 | |
| (808) 293-5390 |
| Full Name | Ko Olauloa Health Center |
|---|---|
| Speciality | Clinic/center - Federally Qualified Health Center (fqhc) |
| Location | 56-490 Kamehameha Hwy, Kahuku, Hawaii |
| Authorized Official Name and Position | Terrence H Aratani (CEO) |
| Authorized Official Contact | 8087923840 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Ko Olauloa Health Center Po Box 395 Kahuku HI 96731-0395 Ph: (808) 293-9216 | Ko Olauloa Health Center 56-490 Kamehameha Hwy Room R104 Kahuku HI 96731-2200 Ph: (808) 293-9216 |
| NPI Number | 1821335837 |
|---|---|
| Provider Enumeration Date | 01/10/2013 |
| Last Update Date | 07/05/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821335837 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | CSDT57 (Hawaii) | Secondary |
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |