Hamakua Health Center, Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

HAMAKUA HEALTH CENTER, INC.

Doing business as

Hamakua Kohala Health

Practice address

65-1267 Kawaihae Rd
Kamuela, HI 96743-7345

Phone

(808) 775-7204

Fax

(808) 775-9404

NPI assigned

Aug 3, 2020

Last updated

Aug 3, 2020By the provider in NPPES

Organization subpart

Yes

Parent organization

HAMAKUA HEALTH CENTER, INC.As reported in NPPES

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

Authorized official

Name

Irene J Carpenter

Title

Ceo

Phone

(808) 930-2716

Specialties & licenses 1

Addresses

Other names 1

• Hamakua Kohala Health Doing business as

Part of

Hamakua Health Ctr Inc

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

• Hamakua Health Center, Inc.

  dba Hamakua-Kohala Health

  • Federally Qualified Health Center (FQHC)
  • Kapa'au, HI
  • NPI 1972304970
  NPPES parent name

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

{
    "created_epoch": "1596412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1596412800000",
    "number": "1770193062",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45-549 PLUMERIA ST",
            "city": "HONOKAA",
            "state": "HI",
            "postal_code": "967276902",
            "telephone_number": "808-775-7204",
            "fax_number": "808-775-9404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65-1267 KAWAIHAE RD",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967437345",
            "telephone_number": "808-775-7204",
            "fax_number": "808-775-9404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HAMAKUA HEALTH CENTER, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HAMAKUA HEALTH CENTER, INC.",
        "enumeration_date": "2020-08-03",
        "last_updated": "2020-08-03",
        "certification_date": "2020-08-03",
        "status": "A",
        "authorized_official_last_name": "CARPENTER",
        "authorized_official_first_name": "IRENE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-930-2716"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hamakua Kohala Health",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Mark Guppy
• China Haag
• Harold Valentine Hall, PHD
• Hamakua Health Center, Inc. (Hamakua-Kohala Health)
• Hamakua Health Center, Inc. (Hamakua Kohala Health)
• Hamakua Health Center, Inc. (Hamakua Kohala Health)
• William Thane Hancock, MD
• Audre Tara Harlow, LMT
• Catherine Alice Hart, LISW
• Trevor Donald Hartwell, D.D.S.

• Federally Qualified Health Center (FQHC) in Kamuela, HI
• Providers in Kamuela, 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 3, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.