| East Hawaii Health Clinic At Pahoa | |
|
15-2662 Pahoa Village Rd Suite 303 Pahoa HI 96778-7730 | |
| (808) 965-1801 | |
| Not Available |
| Full Name | East Hawaii Health Clinic At Pahoa |
|---|---|
| Speciality | Clinic/Center |
| Location | 15-2662 Pahoa Village Rd, Pahoa, Hawaii |
| Authorized Official Name and Position | Lauri Elizabeth Redus (RURAL HEALTH CLINIC PRACTICE ADMIN) |
| Authorized Official Contact | 8089323801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| East Hawaii Health Clinic At Pahoa 15-2660 Pahoa Village Road Suite 306, Pmb 8741 Pahoa HI 96778-7802 Ph: (808) 965-1801 | East Hawaii Health Clinic At Pahoa 15-2662 Pahoa Village Rd Suite 303 Pahoa HI 96778-7730 Ph: (808) 965-1801 |
| NPI Number | 1174777916 |
|---|---|
| Provider Enumeration Date | 11/06/2008 |
| Last Update Date | 08/16/2022 |
| Medicare PECOS PAC ID | 1254479033 |
|---|---|
| Medicare Enrollment ID | O20091116000523 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174777916 | NPI | - | NPPES |
| 832396 | Medicaid | HI |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QR1300X | Clinic/center - Rural Health | (* (Not Available)) | Primary |
| Provider Name | Hart L Miller |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1831109933 PECOS PAC ID: 4587697008 Enrollment ID: I20070306000722 |
| Provider Name | William P Berg |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1437594421 PECOS PAC ID: 1759675374 Enrollment ID: I20160804001414 |
| Provider Name | Tuyngoc B Nguyen |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1699106096 PECOS PAC ID: 3779834692 Enrollment ID: I20190322002108 |
Donald Moody Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 15-3039 Pahoa Village Road, Pahoa, HI 96778 Phone: 808-965-2232 | |
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 | |
Hawaii Island Community Health Center Primary Care Clinic Medicare: Medicare Enrolled Practice Location: 15-2866 Pahoa Village Rd, Bldg F, Pahoa, HI 96778 Phone: 808-965-3038 Fax: 808-961-5678 | |
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 |