NPIMap

Organization Active NPI

Kalihi-Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
National Provider Identifier
1467890095
Registry record updated Jun 5, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
W20300018-01 Issued in HI
Legal business name
KALIHI-PALAMA HEALTH CENTER
Practice address
1700 Lanakila Ave
Honolulu, HI 96817-2115
Phone
(808) 832-5800
NPI assigned
Jun 5, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 5, 2013

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

Authorized official

Name
Dr. Emmanuel Kintu, D.MGT, MBA
Title
Ceo/Executive Director
Phone
(808) 791-6315

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X W20300018-01 HI Primary

Addresses

Primary practice location

1700 Lanakila Ave
Honolulu, HI 96817-2115

Mailing address

PO Box 17460
Honolulu, HI 96817-0460
Phone (808) 848-1438

Other names 1

  • LANAKILA HEALTH CENTER - Living Well Project Other name

National Provider Directory

National Provider Directory
Tax ID family
Kalihi-Palama Health Center Optometry13 organizations share this tax ID, including this one

Other organizations with this tax ID 12

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

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1370390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1370390400000",
    "number": "1467890095",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 17460",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968170460",
            "telephone_number": "808-848-1438",
            "fax_number": "808-848-8178"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 LANAKILA AVE",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968172115",
            "telephone_number": "808-832-5800"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIHI-PALAMA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-06-05",
        "last_updated": "2013-06-05",
        "status": "A",
        "authorized_official_last_name": "KINTU",
        "authorized_official_first_name": "EMMANUEL",
        "authorized_official_title_or_position": "CEO/EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "808-791-6315",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.MGT, MBA"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "HI",
            "license": "W20300018-01",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANAKILA HEALTH CENTER - Living Well Project",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Honolulu, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.