NPIMap

Organization Active NPI

Waianae District Comprehensive Health and Hospital Board, Incorporated

Doing business as James and Abigail Campbell Clinic

  • Federally Qualified Health Center (FQHC)
  • Waianae, HI
National Provider Identifier
1295928497
Registry record updated Feb 27, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED
Doing business as
James and Abigail Campbell Clinic
Practice address
89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160
Phone
(808) 696-3900
Fax
(808) 696-7093
NPI assigned
Aug 21, 2007
Last updated
Feb 27, 2026By the provider in NPPES
Organization subpart
Yes
Parent organization
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATEDAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2026

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

Authorized official

Name
Cindy Yee
Title
Chief Financial Officer
Phone
(808) 697-3128

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Non-Surgical Family Planning Clinic/Center 261QF0050X NU
Federally Qualified Health Center (FQHC) 261QF0400X NU Primary
Mental Health Clinic/Center (Including Community Mental Health Center) 261QM0801X NU
Multi-Specialty Clinic/Center 261QM1300X NU
Primary Care Clinic/Center 261QP2300X NU

Addresses

Primary practice location

89-102 Farrington Hwy Unit 3000
Waianae, HI 96792-4160

Mailing address

86-260 Farrington Hwy
Waianae, HI 96792-3128
Phone (808) 696-7081

Other identifiers 1

IdentifierTypeStateIssuer
00934901MedicaidHI

Other names 1

  • James and Abigail Campbell Clinic Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100728000365 HI Part A Provider - Federally Qualified Health Center (FQHC) 9931008349 Practice locations: Waianae, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1295928497. Details of each certification follow.

Federally qualified health center certification: CCN 121802

Legal name
WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD INCORPORATED
Doing business as
JAMES AND ABIGAIL CAMPBELL CLINIC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Oct 1, 1991
Last certification
Oct 1, 1991
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
May 6, 1969 in HI
Enrollment address
89-102 Farrington Hwy
Waianae, HI 96792-4158

Other NPIs with the same Medicare PAC ID 16

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 16

National Provider Directory

National Provider Directory
Tax ID family
Waianae Dist Comp HTH Hosp39 organizations share this tax ID, including this one
Part of
Waianae Dist Comp HTH Hosp

Other organizations with this tax ID 38

Organizations that report the same tax identification number in the National Provider Directory.

View all 38

Ownership & related parties

All disclosed owners & managing parties 22

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Genevieve Aken Individual Corporate Director May 19, 2020
Dane K Lloyd Individual Corporate DirectorBoard Member May 5, 2012
Charles Hew-Len Individual Corporate Director May 18, 2015
Clifford K Isara Individual Corporate DirectorBoard Member May 25, 2005
Desire de Soto Individual Corporate DirectorDirector May 21, 2024
Richard P Bettini Individual Corporate OfficerPresident & Ceo Feb 9, 1979
W-2 Managing Employee Jul 14, 2010
Operational/Managerial ControlPresident & Ceo Feb 9, 1979
Marianne Glushenko Individual Corporate Director May 21, 2024
Lajuaine C Suiso Individual Corporate DirectorBoard Member May 5, 2012
Merrie L Aipoalani Individual Corporate DirectorBoard Member May 22, 1991
Denice Keliikoa Individual Corporate Director May 18, 2015
Deroy Lavatai Individual Corporate Director May 16, 2023
Anthony Paris Individual Corporate Director May 18, 2021
Billie J Hauge Individual Corporate DirectorBoard Member Apr 28, 2008
Tesha Malama Individual Corporate Director May 17, 2022
Judith Babson Individual Corporate Director May 21, 2018
Todd Nitta Individual Corporate Director Jul 25, 2023
Cindy Yee Individual Corporate Director Jun 30, 2022
W-2 Managing EmployeeChief Financial Officer Nov 25, 2019
Virginia M Fuata Individual Corporate DirectorBoard Member May 5, 2012
Renee J Rego Individual Corporate DirectorBoard Member May 20, 2009
Florine D Pell Individual Corporate Director May 18, 2015
Wayne K Suehiro Individual Corporate DirectorBoard Member May 22, 1996
Daniel H Gomes Individual Corporate DirectorBoard Member May 6, 2004

All facility ownership & control disclosures 2

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
The Comp at Tamura Super MarketWaianae, HI, CCN 121878 Federally qualified health center Operational/Managerial Control May 6, 1969
Makaha HealthWaianae, HI, CCN 121021 Federally qualified health center 5% Or Greater Direct Ownership Interest (100%) Jan 1, 1972

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

NPI Registry JSON

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

{
    "created_epoch": "1187654400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1772150400000",
    "number": "1295928497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "86-260 FARRINGTON HWY",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967923128",
            "telephone_number": "808-696-7081",
            "fax_number": "808-696-7093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "89-102 FARRINGTON HWY UNIT 3000",
            "city": "WAIANAE",
            "state": "HI",
            "postal_code": "967924160",
            "telephone_number": "808-696-3900",
            "fax_number": "808-696-7093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAIANAE DISTRICT COMPREHENSIVE HEALTH AND HOSPITAL BOARD, INCORPORATED",
        "enumeration_date": "2007-08-21",
        "last_updated": "2026-02-27",
        "certification_date": "2026-02-27",
        "status": "A",
        "authorized_official_last_name": "YEE",
        "authorized_official_first_name": "CINDY",
        "authorized_official_title_or_position": "CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "808-697-3128"
    },
    "taxonomies": [
        {
            "code": "261QF0050X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Family Planning, Non-Surgical",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "261QM0801X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Mental Health (Including Community Mental Health Center)",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00934901",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "JAMES AND ABIGAIL CAMPBELL CLINIC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "James and Abigail Campbell Clinic",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waianae, HI

Sources for this page

Verify at the official NPI Registry.