NPIMap

Organization Active NPI

Ko Olauloa Health Center

Doing business as Ko'olauloa Community Health and Wellness Center, RRHC Medical

  • Federally Qualified Health Center (FQHC)
  • Kahuku, HI
National Provider Identifier
1063766079
Registry record updated Jul 5, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
KO OLAULOA HEALTH CENTER
Doing business as
Ko'olauloa Community Health and Wellness Center, RRHC Medical
Practice address
56-490 Kamehameha Hwy R-Building RM 104
Kahuku, HI 96731
Phone
(808) 454-7447
NPI assigned
Oct 30, 2012
Last updated
Jul 5, 2022By the provider in NPPES
Organization subpart
Yes
Parent organization
KO'OLAULOA HEALTH CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 5, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Terrence H Aratani
Title
Ceo
Phone
(808) 792-3840

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X HI Primary

Addresses

Primary practice location

56-490 Kamehameha Hwy R-Building RM 104
Kahuku, HI 96731

Mailing address

PO Box 395
Kahuku, HI 96731
Phone (808) 454-7447

Other names 1

  • Ko'olauloa Community Health and Wellness Center, RRHC Medical Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050112001130 HI Part B Supplier - Clinic/Group Practice 0941259394 Receives reassigned benefits from 12 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kahuku, HI; Hauula, HI

Other NPIs on the same Medicare enrollment 2

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Part of
Ko Olauloa Health Center

Locations

56-490 Kamehameha Hwy
Rm 104
Kahuku, HI 96731
Phone (808) 293-9216

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1351555200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1656979200000",
    "number": "1063766079",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 395",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "96731",
            "telephone_number": "808-454-7447",
            "fax_number": "808-293-5390"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-490 KAMEHAMEHA HWY R-BUILDING RM 104",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "96731",
            "telephone_number": "808-454-7447"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KO OLAULOA HEALTH CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KO'OLAULOA HEALTH CENTER",
        "enumeration_date": "2012-10-30",
        "last_updated": "2022-07-05",
        "certification_date": "2022-07-05",
        "status": "A",
        "authorized_official_last_name": "ARATANI",
        "authorized_official_first_name": "TERRENCE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-792-3840"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ko'olauloa Community Health and Wellness Center, RRHC Medical",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kahuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 5, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.