Organization Active NPI

Waikiki Health Center

  • Federally Qualified Health Center (FQHC)
  • Haleiwa, HI
National Provider Identifier
1730345190
Registry record updated Mar 12, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
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, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 12, 2013

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)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
04701301MedicaidHI

Other names 1

  • Ho'oIa Like Outreach Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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 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, and the practitioner matching its NPPES authorized official.

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.

Verify at the official NPI Registry.