NPIMap

Organization Active NPI

West Hawaii Community Health Center, Inc.

  • Federally Qualified Health Center (FQHC)
  • Kailua Kona, HI
National Provider Identifier
1578288411
Registry record updated Oct 4, 2022
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
74-5062 Onipaa St
Kailua Kona, HI 96740-1484
Phone
(808) 326-3878
NPI assigned
Oct 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 4, 2022

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

74-5062 Onipaa St
Kailua Kona, HI 96740-1484

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753
Phone (808) 326-3878

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
O20221221000667 HI Part A Provider - Federally Qualified Health Center (FQHC) 1557389400 Practice locations: Kailua Kona, HI

Federally qualified health center certification: CCN 121004

Legal name
WEST HAWAII COMMUNITY HEALTH CENTER INC
Doing business as
WHCHC KEALAKEHE INTERMEDIATE SBHC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Dec 20, 2022
Last certification
Dec 20, 2022
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 2003 in HI
Enrollment address
74-5062 Onipaa St
Kailua Kona, HI 96740-1484

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
Tax ID family
West Hawaii Community Health Center Inc19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

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

View all 18

Ownership & related parties

All disclosed owners & managing parties 19

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 Member Jul 1, 2022
Richard J Taaffe Individual Corporate OfficerChief Executive Officer Oct 31, 2005
W-2 Managing EmployeeChief Executive Officer Oct 31, 2005
Brandee Menino Individual Corporate DirectorBoard Member Jul 1, 2022
Ronald Kim Individual Corporate DirectorBoard Member Jul 1, 2022
Patti Aoki Individual Corporate DirectorBoard Member Mar 24, 2022
Britta Zimmer Individual Corporate DirectorBoard Member Jul 1, 2022
Peter Hoffmann Individual Corporate DirectorBoard Member Mar 24, 2022
Tom Hasslinger Individual Corporate DirectorBoard Member Mar 24, 2022
Ann Chiodini Individual Corporate DirectorBoard Member Mar 24, 2022
Joann Freed Individual Corporate OfficerBoard Secretary Mar 24, 2022
Corporate DirectorBoard Member Mar 24, 2022
Adam Keith Bauer Individual Corporate OfficerBoard Treasurer Jul 1, 2022
Corporate DirectorBoard Member Jul 1, 2022
Michael Matsukawa Individual Corporate OfficerBoard Chair Mar 24, 2022
Corporate DirectorBoard Member Mar 24, 2022
Elisa Yadao Individual Corporate DirectorBoard Member Mar 24, 2022
David Aragon Individual Corporate DirectorBoard Member Mar 24, 2022
Haidee O Abe Individual Corporate OfficerBoard Vice Chair Jul 1, 2022
Corporate DirectorBoard Member Jul 1, 2022
Victoria K Hanes Individual Corporate OfficerChief Operating Officer May 26, 2020
W-2 Managing EmployeeChief Operating Officer May 26, 2020
Diane Pautz Individual Corporate OfficerChief Financial Officer Jul 28, 2008
W-2 Managing EmployeeChief Financial Officer Jul 28, 2008
Katharyn Daub Individual Corporate DirectorBoard Member Jul 1, 2022
Michael McGee Individual Corporate DirectorBoard Member Jul 1, 2022

Owners & managing parties with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 63

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

View all 63

NPI Registry JSON

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

{
    "created_epoch": "1664841600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1664841600000",
    "number": "1578288411",
    "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": "808-326-3878"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "74-5062 ONIPAA ST",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401484",
            "telephone_number": "808-326-3878"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HAWAII COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-10-04",
        "last_updated": "2022-10-04",
        "certification_date": "2022-09-30",
        "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.