Kalihi-Palama Health Center

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

350 Sumner St
Honolulu, HI 96817-5087

Phone

(808) 843-7239

Fax

(808) 841-1265

NPI assigned

Jul 24, 2006

Organization subpart

No

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

Authorized official

Name

Victoria K Lancaster

Title

Patient Accounting Manager

Phone

(808) 531-6322

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Sumner HCHP Other name

Medicare fee-for-service enrollment

Enrolled in HI

Enrollment records 1

Federally qualified health center certification: CCN 121803

Legal name

KALIHI PALAMA HEALTH CENTER

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 19, 1993

Last certification

Jul 19, 1993

Ownership / control type

For profit – partnership

Organization structure

CorporationNon-profit

Incorporated

Mar 24, 1975 in HI

Enrollment address

915 N King St
Honolulu, HI 96817-4544

Federally qualified health center certification: CCN 121807

Legal name

SUMNER STREET CLINIC

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Jul 19, 1993

Last certification

Jul 19, 1993

Ownership / control type

For profit – partnership

Facility address

350 Sumner Street
Honolulu, HI 96817

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Kalihi Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1457304966

  O20060309000345

  Same enrollment
• Kalihi-Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1326068800

  O20060309000345

  Same enrollment
• Kalihi-Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1508889379

  O20060309000345

  Same enrollment
• Kalihi-Palama Health Center

  • Federally Qualified Health Center (FQHC)
  • Honolulu, HI
  • NPI 1659393486

  O20060309000345

  Same enrollment
• Kalihi-Palama Health Center Optometry

  • Optometrist
  • Honolulu, HI
  • NPI 1609818749

  O20060309000345

  Same enrollment

Locations

All disclosed owners & managing parties 12

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

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

{
    "created_epoch": "1153699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1689696395",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "915 N KING ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968174544",
            "telephone_number": "808-843-7239",
            "fax_number": "808-841-1265"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 SUMNER ST",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968175087",
            "telephone_number": "808-843-7239",
            "fax_number": "808-841-1265"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KALIHI-PALAMA HEALTH CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-24",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "LANCASTER",
        "authorized_official_first_name": "VICTORIA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "PATIENT ACCOUNTING MANAGER",
        "authorized_official_telephone_number": "808-531-6322"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "HI",
            "license": "W20300018-01",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "51863105",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Sumner HCHP",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Kalihi-Palama Health Center
• Kalihi-Palama Health Center
• Kalihi-Palama Health Center
• Kalihi-Palama Health Center
• Kalihi-Palama Health Center
• Kalihi-Palama Health Center Dental Department
• Kalihi-Palama Health Center Optometry
• Kalino LLC
• David Z. Kalir, D.O.
• Janelle W. Y. Kalir, M.D.

• Federally Qualified Health Center (FQHC) in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Federally Qualified Health Center (FQHC) in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.