NPIMap

Organization Active NPI

West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kailua Kona, HI
National Provider Identifier
1336028364
Registry record updated Sep 2, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WEST HAWAII COMMUNITY HEALTH CENTER, INC.
Practice address
74-5214 Keanalehu Dr
Kailua Kona, HI 96740
Phone
(808) 326-5629
NPI assigned
Sep 2, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 2, 2025

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

Authorized official

Name
Richard J Taaffe
Title
Chief Executive Officer
Phone
(808) 326-3884

Specialties & licenses 1

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

Addresses

Primary practice location

74-5214 Keanalehu Dr
Kailua Kona, HI 96740

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 326-5629

Other names 1

  • Hawaii Island Community Health Center Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20260403000119 HI Part A Provider - Federally Qualified Health Center (FQHC) 1557389400 Practice locations: Kailua Kona, HI

Federally qualified health center certification: CCN 121044

Legal name
WEST HAWAII COMMUNITY HEALTH CENTER INC
Doing business as
HAWAII ISLAND COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Mar 11, 2026
Last certification
Mar 11, 2026
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
74-5214 Keanalehu Drive
Kailua Kona, HI 96740-9998

Other NPIs with the same Medicare PAC ID 19

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

View all 19

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

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

NameRoleSinceShare
Marlo Lyman-Kekaualua Individual Corporate DirectorBoard Chair Jul 1, 2023
Richard J Taaffe Individual Corporate OfficerChief Executive Officer Oct 31, 2005
W-2 Managing EmployeeChief Executive Officer Oct 31, 2005
Operational/Managerial ControlCeo Oct 31, 2005
Brandee Menino Individual Corporate DirectorBoard Chair Jul 1, 2024
Patti Aoki Individual Corporate DirectorSecretary Jul 3, 2024
Britta Zimmer Individual Corporate DirectorBoard Chair Jul 1, 2023
Peter Hoffmann Individual Corporate DirectorBoard Chair Jul 1, 2010
Tom Hasslinger Individual Corporate DirectorBoard Chair Jul 1, 2021
Douglass Adams Individual Corporate DirectorBoard Chair Jul 2, 2025
Michael Matsukawa Individual Corporate DirectorBoard Chair Jul 1, 2005
Larry McCabe Individual Corporate DirectorBoard Chair Jul 2, 2025
Elisa Yadao Individual Corporate DirectorBoard Chair Jul 1, 2024
Haidee O Abe Individual Corporate DirectorVice Chair Jul 1, 2022
Victoria K Hanes Individual Corporate OfficerChief Operating Officer May 26, 2020
W-2 Managing EmployeeChief Operating Officer Aug 30, 2010
Operational/Managerial ControlCoo May 26, 2020
Jesse Ebersole Individual Corporate DirectorBoard Chair Oct 2, 2024
Diane Pautz Individual Corporate OfficerChief Financial Officer Jul 28, 2008
W-2 Managing EmployeeChief Financial Chief Jul 28, 2008
Operational/Managerial ControlCfo Jul 28, 2008
Dalilah Schlueter Individual Corporate DirectorBoard Chair Oct 2, 2024
Katharyn Daub Individual Corporate DirectorBoard Chair Jul 1, 2022
Michael McGee Individual Corporate DirectorBoard Chair Jul 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

NPI Registry JSON

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

{
    "created_epoch": "1756771200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1756771200000",
    "number": "1336028364",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-326-5629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5214 KEANALEHU DR",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "96740",
            "telephone_number": "808-326-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HAWAII COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-09-02",
        "last_updated": "2025-09-02",
        "certification_date": "2025-09-02",
        "status": "A",
        "authorized_official_last_name": "TAAFFE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-326-3884"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Island Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kailua Kona, HI

Sources for this page

Verify at the official NPI Registry.