| Kahuku Medical Center | |
|
56-117 Pualalea St Kahuku HI 96731-2052 | |
| (808) 293-6269 | |
| (808) 293-1574 |
| Full Name | Kahuku Medical Center |
|---|---|
| Speciality | Clinic/Center |
| Location | 56-117 Pualalea St, Kahuku, Hawaii |
| Authorized Official Name and Position | Jerome Flores (CFO COO) |
| Authorized Official Contact | 8082936224 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kahuku Medical Center 56-117 Pualalea St Kahuku HI 96731-2052 Ph: (808) 293-6269 | Kahuku Medical Center 56-117 Pualalea St Kahuku HI 96731-2052 Ph: (808) 293-6269 |
| NPI Number | 1780125179 |
|---|---|
| Provider Enumeration Date | 03/17/2017 |
| Last Update Date | 03/17/2017 |
| Medicare PECOS PAC ID | 1557446697 |
|---|---|
| Medicare Enrollment ID | O20170619002242 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1780125179 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
Ko'olauloa Community Health And Wellness Center, Rrhc Medical Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 Phone: 808-454-7447 | |
Kaiser Foundation Health Plan, Inc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56-565 Kamehameha Hwy, Kahuku, HI 96731 Phone: 808-432-3900 | |
Ko'olauloa Community Health And Wellness Center, Kahuku Dental Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 56-119 Pualalea St, Kahuku, HI 96731 Phone: 808-293-9231 Fax: 808-293-1511 | |
Ko'olauloa Community Health And Wellness Center, Kahuku Medical Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 56-119 Pualalea St., Kahuku, HI 96731 Phone: 808-293-9231 Fax: 808-293-5390 |