Active NPI
Comprehensive Health and Attitude Management Programs Inc
Doing business as Champ Clinic Inc
- Methadone Clinic
- Wailuku, HI
National Provider Identifier
1770624074
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Methadone Clinic
- License
- E06063
- Legal business name
- COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC
- Doing business as
- Champ Clinic Inc
- Practice address
- 270 Waiehu Beach Rd
115
Wailuku, HI 96793-1472 - Phone
- (808) 249-8784
- Fax
- (808) 249-0536
- NPI assigned
- Feb 9, 2007
- Last updated
- Mar 24, 2020
- Organization subpart
- Yes
- Parent organization
- COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cristiane Caleffi
- Title
- Billing Manager
- Phone
- (808) 258-7271
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Methadone Clinic | 261QM2800X | E06063 | HI | Primary |
Addresses
Primary practice location
270 Waiehu Beach Rd
115
Wailuku, HI 96793-1472
Mailing address
270 Waiehu Beach Rd
115
Wailuku, HI 96793-1472
Phone (808) 249-8784
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 54447002 | Medicaid | HI | |
| A2121402 | Other | HI | PROVIDER NUMBER |
Other names 1
- CHAMP CLINIC INC
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in HI
- Opioid treatment program
- Medicare-enrolled since Jan 1, 2020
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20200121001279 | HI | Part B Supplier - Opioid Treatment Program (Otp) | 6608166434 |
1 other NPI on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Honolulu, HI; Wailuku, HI |
Other NPIs on the same Medicare enrollment 1
NPIs listed together on one Medicare enrollment, typically parts of the same organization.
-
- Methadone Clinic
- Honolulu, HI
- NPI 1184760985
O20200121001279
National Provider Directory
National Provider Directory- Tax ID family
- Comprehensive Health and Attitude Management Programs Inc
- Part of
- Comprehensive Health and Attitude Management Programs Inc
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Methadone Clinic
- Honolulu, HI
- NPI 1184760985
Locations
270 Waiehu Beach Rd
Ste 115
Wailuku, HI 96793
Phone (808) 249-8784
Ownership & related parties
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.
-
- Methadone Clinic
- Honolulu, HI
- NPI 1184760985
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Addiction Medicine (Anesthesiology) Physician
- Kihei, HI
- NPI 1598967119
-
- Emergency Medicine Physician
- Honolulu, HI
- NPI 1043311053
-
- Addiction (Substance Use Disorder) Registered Nurse
- Wailuku, HI
- NPI 1720944077
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1170979200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1585008000000",
"number": "1770624074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "270 WAIEHU BEACH RD",
"address_2": "115",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931472",
"telephone_number": "808-249-8784",
"fax_number": "808-249-0536"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "270 WAIEHU BEACH RD",
"address_2": "115",
"city": "WAILUKU",
"state": "HI",
"postal_code": "967931472",
"telephone_number": "808-249-8784",
"fax_number": "808-249-0536"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "COMPREHENSIVE HEALTH AND ATTITUDE MANAGEMENT PROGRAMS INC",
"enumeration_date": "2007-02-09",
"last_updated": "2020-03-24",
"certification_date": "2020-03-24",
"status": "A",
"authorized_official_last_name": "CALEFFI",
"authorized_official_first_name": "CRISTIANE",
"authorized_official_title_or_position": "BILLING MANAGER",
"authorized_official_telephone_number": "808-258-7271"
},
"taxonomies": [
{
"code": "261QM2800X",
"taxonomy_group": "",
"desc": "Clinic/Center, Methadone",
"state": "HI",
"license": "E06063",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "54447002",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PROVIDER NUMBER",
"identifier": "A2121402",
"state": "HI"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "CHAMP CLINIC INC",
"code": "3",
"type": "Doing Business As"
}
]
}Other providers in Wailuku, HI
- Community Clinic of Maui, Inc.
- Community Clinic of Maui, Inc. (Malama I Ke Ola Health Center)
- Community Clinic of Maui, Inc. (Malama I Ke Ola Health Center)
- Community Clinic of Maui, Inc. (Malama I Ke Ola Health Center)
- Community Mental Health Center Clubhouse- Hale O Lanakila
- Diane Conklin, APRN
- Douglas Wesley Cook, M.D.
- Douglas M Cooper, MD
- Cora S Tasaki MD Inc
- Alyssa Corcoran
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2020; 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.