West Hawaii Community Health Center Inc.

Primary specialty

Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X

Legal business name

WEST HAWAII COMMUNITY HEALTH CENTER INC.

Doing business as

West Hawaii Community Health Center - Kealakekua

Practice address

81 6627 Mamalahoa Hwy
Ste 106
Kealakekua, HI 96750

Phone

(808) 323-8005

Fax

(808) 323-2255

NPI assigned

Apr 9, 2008

Last updated

Jan 15, 2013By the provider in NPPES

Organization subpart

Yes

Parent organization

WEST HAWAII COMMUNITY 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

Mr. Richard J Taaffe

Title

Ceo

Phone

(808) 326-3878

Specialties & licenses 2

Addresses

Other names 1

• West Hawaii Community Health Center - Kealakekua Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1841463080. Details of each certification follow.

• CCN 121849 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 121849

Legal name

WEST HAWAII COMMUNITY HEALTH CNTR INC KEALAKEKUA

Certification status

Active

Provider type (POS)

Federally qualified health center

Participating since

Feb 8, 2013

Last certification

Feb 8, 2013

Ownership / control type

For profit – corporation

Facility address

81-6627 Mamalahoa Highway
Kealakekua, HI 96750

Part of

West Hawaii Community Health Center Inc

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

{
    "created_epoch": "1207699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1358208000000",
    "number": "1841463080",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75 5751 KUAKINI HWY",
            "address_2": "STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401705",
            "telephone_number": "808-326-3883",
            "fax_number": "808-329-9370"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "81 6627 MAMALAHOA HWY",
            "address_2": "STE 106",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "96750",
            "telephone_number": "808-323-8005",
            "fax_number": "808-323-2255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HAWAII COMMUNITY HEALTH CENTER INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WEST HAWAII COMMUNITY HEALTH CENTER, INC.",
        "enumeration_date": "2008-04-09",
        "last_updated": "2013-01-15",
        "status": "A",
        "authorized_official_last_name": "TAAFFE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-326-3878",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "208000000X",
            "taxonomy_group": "",
            "desc": "Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "West Hawaii Community Health Center - Kealakekua",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Jena Christine Uvalle, DO
• Stephanie Neesvig Vanhoff, DPT
• Kitty Victoria, MD
• Dorothy J Weber, MS - COUNSELING
• Wesley J. Sugai, M.D., Inc.
• West Hawaii Community Health Center, Inc. (Hawaii Island Community Health Center)
• West Hawaii Community Health Center, Inc. (West Hawaii Community Health Center, Inc. - Kealakekua Adult & Family)
• West Hawaii Community Health Center, Inc. (Hawaii Island Community Health Center)
• West Hawaii Dental, Inc
• West Hawaii Home Health Services, Inc

• Federally Qualified Health Center (FQHC) in Kealakekua, HI
• Providers in Kealakekua, 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 Jan 15, 2013; 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.