| Hamakua Health Center, Inc. | |
|
53-3925 Akoni Pule Hwy Kohala Family Health Center Kapa'au HI 96755 | |
| (808) 889-6236 | |
| (808) 889-0107 |
| Full Name | Hamakua Health Center, Inc. |
|---|---|
| Speciality | Clinic/Center |
| Location | 53-3925 Akoni Pule Hwy, Kapa'au, Hawaii |
| Authorized Official Name and Position | Irene J Carpenter (CEO) |
| Authorized Official Contact | 8087757204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hamakua Health Center, Inc. 45-549 Plumeria St Honokaa HI 96727-6902 Ph: (808) 775-7204 | Hamakua Health Center, Inc. 53-3925 Akoni Pule Hwy Kohala Family Health Center Kapa'au HI 96755 Ph: (808) 889-6236 |
| NPI Number | 1093868416 |
|---|---|
| Provider Enumeration Date | 01/19/2007 |
| Last Update Date | 01/09/2023 |
| Medicare PECOS PAC ID | 8325940885 |
|---|---|
| Medicare Enrollment ID | O20061227000367 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093868416 | NPI | - | NPPES |
| 51864901 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | (* (Not Available)) | Primary |