NPIMap

Organization Active NPI

West Hawaii Community Health Center, Inc.

Doing business as West Hawaii Cummunity Health Center, Inc. - Waikoloa

  • Federally Qualified Health Center (FQHC)
  • Waikoloa, HI
National Provider Identifier
1649520644
Registry record updated Jan 4, 2013
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.
Doing business as
West Hawaii Cummunity Health Center, Inc. - Waikoloa
Practice address
68-1845 Waikoloa Road
Suite 207
Waikoloa, HI 96738-5581
Phone
(808) 326-3883
Fax
(808) 329-9370
NPI assigned
Sep 17, 2012
Organization subpart
Yes
Parent organization
WEST HAWAII COMMUNITY HEALTH CENTER, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Jan 4, 2013

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

Authorized official

Name
Richard J Taaffe
Title
Ceo
Phone
(808) 326-3883

Specialties & licenses 1

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

Addresses

Primary practice location

68-1845 Waikoloa Road
Suite 207
Waikoloa, HI 96738-5581

Mailing address

75-5751 Kuakini Hwy
Suite 203
Kailua Kona, HI 96740-1753
Phone (808) 326-3883

Other names 1

  • West Hawaii Cummunity Health Center, Inc. - Waikoloa Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20130615000080 HI Part A Provider - Federally Qualified Health Center (FQHC) 1557389400 Practice locations: Waikoloa, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1649520644. Details of each certification follow.

Federally qualified health center certification: CCN 121848

Legal name
WEST HAWAII COMMUNITY HEALTH CENTER INC
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 17, 2013
Last certification
Jan 17, 2013
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Incorporated
Nov 26, 2003 in HI
Enrollment address
68-1845 Waikoloa Rd
Ste 207
Waikoloa, HI 96738-5581

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 Comm HLTH Ctr19 organizations share this tax ID, including this one
Part of
West Comm HLTH Ctr

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 17

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 Director Jul 1, 2022
Richard J Taaffe Individual Corporate OfficerChief Executive Officer Feb 27, 2014
W-2 Managing Employee Oct 31, 2006
Brandee Menino Individual Corporate Director Jul 1, 2022
Patti Aoki Individual Corporate DirectorSecretary Mar 24, 2022
Britta Zimmer Individual Corporate Director Jul 1, 2022
Peter Hoffmann Individual Corporate DirectorBoard Member Mar 25, 2010
Tom Hasslinger Individual Corporate DirectorBoard Member Mar 24, 2022
Douglass Adams Individual Corporate DirectorBoard Member Jul 25, 2025
Michael Matsukawa Individual Corporate DirectorBoard Member Mar 24, 2005
Larry McCabe Individual Corporate DirectorBoard Member Jul 2, 2025
Elisa Yadao Individual Corporate Director Mar 24, 2022
Haidee O Abe Individual Corporate DirectorBoard Vice Chair Jul 1, 2022
Victoria K Hanes Individual Corporate OfficerChief Operating Officer May 26, 2020
W-2 Managing Employee Aug 30, 2010
Diane Pautz Individual Corporate OfficerChief Financial Officer Jul 28, 2008
W-2 Managing EmployeeChief Financial Officer Jul 28, 2008
Dalilah Schlueter Individual Corporate DirectorBoard Member Oct 2, 2024
Katharyn Daub Individual Corporate Director Jul 1, 2022
Michael McGee Individual Corporate Director 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.

NPI Registry JSON

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

{
    "created_epoch": "1347840000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1357257600000",
    "number": "1649520644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY",
            "address_2": "SUITE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753",
            "telephone_number": "808-326-3883",
            "fax_number": "808-329-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "68-1845 WAIKOLOA ROAD",
            "address_2": "SUITE 207",
            "city": "WAIKOLOA",
            "state": "HI",
            "postal_code": "967385581",
            "telephone_number": "808-326-3883",
            "fax_number": "808-329-9370"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HAWAII COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST HAWAII COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2012-09-17",
        "last_updated": "2013-01-04",
        "status": "A",
        "authorized_official_last_name": "TAAFFE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-326-3883"
    },
    "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": "West Hawaii Cummunity Health Center, Inc. - Waikoloa",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Waikoloa, HI

Sources for this page

Verify at the official NPI Registry.