KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL – NPI #1063833655
Clinic/Center

KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL is an AHC clinic located in HAUULA, HI. NPPES has assigned the NPI number 1063833655 to KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL on December 27, 2013. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL” is a dba name, the actual legal business name for this organization is KO OLAULOA HEALTH CENTER. The primary taxonomy selected by this provider is 261QF0400X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Federally Qualified Health Center (FQHC)

The NPI profile was previously updated about 4 years ago on Jul 05, 2022. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL below.

NPI Profile for
KO OLAULOA HEALTH CENTER

NPI Number
1063833655
Enumeration Date

(more than 12 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
KO OLAULOA HEALTH CENTER
Doing Business As (dba): KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL
Primary location
54-316 KAMEHAMEHA HWY
HAUULA, HI 96717
Phone: (808) 293-9216 Fax:
Mailing address
P.O. BOX 395
KAHUKU, HI 96731
Phone: (808) 293-9216 Fax: (808) 293-5390
Organization Subpart
Yes - KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL is subpart of another organization.
Authorized Official
TERRENCE ARATANI
CEO
Phone: (808) 792-3840
Updated
Certification Date
Jul 05, 2022

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Identifiers

Identifiers for KO'OLAULOA COMMUNITY HEALTH AND WELLNESS CENTER, HAUULA MEDICAL

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERPTANHI121842
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QF0400X
- Clinic/Center / Federally Qualified Health Center (FQHC) (Primary)		 HI

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.