| Hawaii Island Community Health Center | |
|
15-2866 Pahoa Village Rd Bldg F Pahoa HI 96778-7720 | |
| (808) 965-3038 | |
| (808) 961-5678 |
| Full Name | Hawaii Island Community Health Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 15-2866 Pahoa Village Rd, Pahoa, Hawaii |
| Authorized Official Name and Position | Richard J Taaffe (CEO) |
| Authorized Official Contact | 8083263884 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Hawaii Island Community Health Center 75-5751 Kuakini Hwy Ste 203 Kailua Kona HI 96740-1753 Ph: (808) 326-3878 | Hawaii Island Community Health Center 15-2866 Pahoa Village Rd Bldg F Pahoa HI 96778-7720 Ph: (808) 965-3038 |
| NPI Number | 1689814022 |
|---|---|
| Provider Enumeration Date | 02/25/2009 |
| Last Update Date | 09/12/2023 |
| Medicare PECOS PAC ID | 5890699037 |
|---|---|
| Medicare Enrollment ID | O20031120000512 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1689814022 | NPI | - | NPPES |
| 639031 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QF0400X | Clinic/center - Federally Qualified Health Center (fqhc) | W40418008-01 (Hawaii) | Primary |
| Provider Name | John R Engle |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518907203 PECOS PAC ID: 7113828831 Enrollment ID: I20040115001159 |
| Provider Name | Irving W Harper |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1942286067 PECOS PAC ID: 1557255411 Enrollment ID: I20040211000578 |
| Provider Name | William B Meinke |
|---|---|
| Provider Type | Practitioner - General Practice |
| Provider Identifiers | NPI Number: 1588750905 PECOS PAC ID: 8921022112 Enrollment ID: I20060113000704 |
| Provider Name | Cheryl A Zorn |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1255421509 PECOS PAC ID: 3971539701 Enrollment ID: I20061130000458 |
| Provider Name | Dawn S Stone-webb |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1255643607 PECOS PAC ID: 1658527205 Enrollment ID: I20120814000282 |
| Provider Name | Roberta A Tanner |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1972769909 PECOS PAC ID: 5698915080 Enrollment ID: I20130708000674 |
| Provider Name | James Michael Vigorito |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1285766188 PECOS PAC ID: 5890961395 Enrollment ID: I20140509001009 |
| Provider Name | Kelly L Luscomb |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1053746941 PECOS PAC ID: 5395968499 Enrollment ID: I20140519000367 |
| Provider Name | Christian Kimo Alameda |
|---|---|
| Provider Type | Practitioner - Clinical Psychologist |
| Provider Identifiers | NPI Number: 1164651790 PECOS PAC ID: 0042431900 Enrollment ID: I20141020000536 |
| Provider Name | Victoria A Seebruch |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659786416 PECOS PAC ID: 9537471057 Enrollment ID: I20150710002171 |
| Provider Name | Terri S Helbling |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871547059 PECOS PAC ID: 2567477045 Enrollment ID: I20151110001624 |
| Provider Name | Peggy S Oneal |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1013247295 PECOS PAC ID: 5698805539 Enrollment ID: I20160212002408 |
| Provider Name | Shauna Paylor |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1386737138 PECOS PAC ID: 2668493255 Enrollment ID: I20160215001180 |
| Provider Name | Alice Suncloud |
|---|---|
| Provider Type | Practitioner - Registered Dietitian Or Nutrition Professional |
| Provider Identifiers | NPI Number: 1861893455 PECOS PAC ID: 4688967961 Enrollment ID: I20160725000975 |
| Provider Name | Kareem H Khozaim |
|---|---|
| Provider Type | Practitioner - Obstetrics/gynecology |
| Provider Identifiers | NPI Number: 1336467810 PECOS PAC ID: 0446422562 Enrollment ID: I20170331000986 |
| Provider Name | Anne Elizabeth Sturgis |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1437462652 PECOS PAC ID: 8628348752 Enrollment ID: I20170724001819 |
| Provider Name | Kaohimanu Lkd Akiona |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1043658081 PECOS PAC ID: 7113290503 Enrollment ID: I20170906003769 |
| Provider Name | Meilee Fields |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1548697295 PECOS PAC ID: 8022318880 Enrollment ID: I20180117002944 |
| Provider Name | Naomi Summer Whitaker |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1750635157 PECOS PAC ID: 9830343961 Enrollment ID: I20190708001918 |
| Provider Name | Khealynn Fernelius Harris |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1083090567 PECOS PAC ID: 7315246048 Enrollment ID: I20190709001273 |
| Provider Name | Trevan Rankin Sedlak |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1033470844 PECOS PAC ID: 3476859380 Enrollment ID: I20190715001779 |
| Provider Name | Sara R Ponce |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1174849905 PECOS PAC ID: 4789861170 Enrollment ID: I20190813003696 |
| Provider Name | Jason Eugene Jenkins |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1639570476 PECOS PAC ID: 3476773623 Enrollment ID: I20191010000646 |
| Provider Name | Anne Pollock |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1487767836 PECOS PAC ID: 6406856004 Enrollment ID: I20200131002075 |
| Provider Name | Vickie Fachinelli Portes |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1871759050 PECOS PAC ID: 1254499890 Enrollment ID: I20200529000384 |
| Provider Name | Patrick Carl Yeakey |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1225124324 PECOS PAC ID: 2961545041 Enrollment ID: I20200529002785 |
| Provider Name | Melissa Holt |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1659896751 PECOS PAC ID: 8224395116 Enrollment ID: I20200901002597 |
| Provider Name | Thomas Weiner |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1508187519 PECOS PAC ID: 3476788118 Enrollment ID: I20200902002623 |
| Provider Name | April Lowenthal |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1609005685 PECOS PAC ID: 3577711332 Enrollment ID: I20200911000701 |
| Provider Name | Nancy Ann Jeffers |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1508192121 PECOS PAC ID: 4082937230 Enrollment ID: I20201009001002 |
| Provider Name | Byers Naope |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1790283026 PECOS PAC ID: 2668892787 Enrollment ID: I20201012001020 |
| Provider Name | Laura Carolyn Moore |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1326191701 PECOS PAC ID: 9133287790 Enrollment ID: I20201022000222 |
| Provider Name | Angela Lind |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1861768459 PECOS PAC ID: 7911294889 Enrollment ID: I20210225002728 |
| Provider Name | Michael Treece |
|---|---|
| Provider Type | Practitioner - Pediatric Medicine |
| Provider Identifiers | NPI Number: 1437179744 PECOS PAC ID: 8022099092 Enrollment ID: I20210226000981 |
| Provider Name | Antoinette Marie Moore |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1851897029 PECOS PAC ID: 3375952765 Enrollment ID: I20220318002292 |
| Provider Name | Eric James Webster |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1154818987 PECOS PAC ID: 5193070860 Enrollment ID: I20220328001159 |
| Provider Name | Moss Linder |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1134119514 PECOS PAC ID: 3870509631 Enrollment ID: I20220429000376 |
| Provider Name | Matthew Johnston |
|---|---|
| Provider Type | Practitioner - Nurse Practitioner |
| Provider Identifiers | NPI Number: 1134482755 PECOS PAC ID: 0345497921 Enrollment ID: I20220505001652 |
Donald Moody Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15-3039 Pahoa Village Road, Pahoa, HI 96778 Phone: 808-965-2232 | |
East Hawaii Health Clinic At Pahoa Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15-2662 Pahoa Village Rd, Suite 303, Pahoa, HI 96778 Phone: 808-965-1801 | |
Hawaii Island Community Health Center Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15-2866 Pahoa Village Rd, Bldg C, Pahoa, HI 96778 Phone: 808-965-9711 Fax: 808-965-6240 | |
Lynda A Hirakami Dnp Inc Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15-3014 Pahoa Village Road, Pahoa, HI 96778 Phone: 808-339-7093 Fax: 808-339-7076 | |
E Malama Kakou Family Practice Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 153014 Pahoa Village Road, Pahoa, HI 96778 Phone: 808-339-7093 Fax: 808-339-7076 | |
Hawaii Island Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15-2866 Pahoa Village Rd, Pahoa, HI 96778 Phone: 808-965-9711 Fax: 808-965-6240 |