Active NPI
Waikiki Health Center
- Federally Qualified Health Center (FQHC)
- Haleiwa, HI
National Provider Identifier
1730345190
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Federally Qualified Health Center (FQHC)
- Legal business name
- WAIKIKI HEALTH CENTER
- Practice address
- 66-090 Kamehameha Hwy
Queen Liluokalani Protestant Church
Haleiwa, HI 96712 - Phone
- (808) 284-5212
- Fax
- (808) 791-9314
- NPI assigned
- Aug 4, 2008
- Last updated
- Mar 12, 2013
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Sheila Beckham, RD, MPH
- Title
- Chief Executive Officer
- Phone
- (808) 791-9302
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Federally Qualified Health Center (FQHC) | 261QF0400X | NU | Primary |
Addresses
Primary practice location
66-090 Kamehameha Hwy
Queen Liluokalani Protestant Church
Haleiwa, HI 96712
Mailing address
277 Ohua Ave
Honolulu, HI 96815-6612
Phone (808) 922-4787
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 04701301 | Medicaid | HI |
Other names 1
- Ho'oIa Like Outreach
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20040521000013 | HI | Part B Supplier - Clinic/Group Practice | 9335058536 |
Receives reassigned benefits from 49 practitioners 7 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Honolulu, HI |
Other NPIs on the same Medicare enrollment 7
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.
-
- Internal Medicine Physician
- Honolulu, HI
- NPI 1083706477
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1217808000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1363046400000",
"number": "1730345190",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "277 OHUA AVE",
"city": "HONOLULU",
"state": "HI",
"postal_code": "968156612",
"telephone_number": "808-922-4787",
"fax_number": "808-922-6454"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "66-090 KAMEHAMEHA HWY",
"address_2": "QUEEN LILUOKALANI PROTESTANT CHURCH",
"city": "HALEIWA",
"state": "HI",
"postal_code": "96712",
"telephone_number": "808-284-5212",
"fax_number": "808-791-9314"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAIKIKI HEALTH CENTER",
"organizational_subpart": "NO",
"enumeration_date": "2008-08-04",
"last_updated": "2013-03-12",
"status": "A",
"authorized_official_last_name": "BECKHAM",
"authorized_official_first_name": "SHEILA",
"authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
"authorized_official_telephone_number": "808-791-9302",
"authorized_official_credential": "RD, MPH"
},
"taxonomies": [
{
"code": "261QF0400X",
"taxonomy_group": "",
"desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "04701301",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "Ho'oIa Like Outreach",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Haleiwa, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.