NPIMap

Organization Active NPI

West Hawaii Community Health Center, Inc.

Doing business as Hawaii Island Community Health Center

  • Federally Qualified Health Center (FQHC)
  • Pahoa, HI
National Provider Identifier
1861376907
Registry record updated Aug 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
WEST HAWAII COMMUNITY HEALTH CENTER, INC.
Doing business as
Hawaii Island Community Health Center
Practice address
15-890 Kahakai Blvd
Pahoa, HI 96778-9653
Phone
(808) 326-5629
NPI assigned
Aug 1, 2025
Last updated
Aug 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 1, 2025

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

Authorized official

Name
Richard J Taaffe
Title
Chief Executive Officer
Phone
(808) 326-3884

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X Primary

Addresses

Primary practice location

15-890 Kahakai Blvd
Pahoa, HI 96778-9653

Mailing address

75-5751 Kuakini Hwy Ste 203
Kailua Kona, HI 96740-1753

Other names 2

  • Hawaii Island Community Health Center Doing business as
  • Keonepoko Elementary - School-Based Health Center Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250927000546 HI Part A Provider - Federally Qualified Health Center (FQHC) 1557389400 Practice locations: Pahoa, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1861376907. Details of each certification follow.

Federally qualified health center certification: CCN 121029

Legal name
WEST HAWAII COMMUNITY HEALTH CENTER INC
Doing business as
HAWAII ISLAND COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Aug 26, 2025
Last certification
Aug 26, 2025
Ownership / control type
For profit – corporation
Organization structure
CorporationNon-profit
Enrollment address
15-890 Kahakai Blvd
Pahoa, HI 96778-9653

Other NPIs with the same Medicare PAC ID 19

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

View all 19

National Provider Directory

National Provider Directory
Tax ID family
West Comm HLTH Ctr19 organizations share this tax ID, including this one

Other organizations with this tax ID 18

Organizations that report the same tax identification number in the National Provider Directory.

View all 18

Locations

83-5360 Mamalahoa Hwy
Captain Cook, HI 96704
Phone (808) 326-3878

1178 Kinoole St
Ste B
Hilo, HI 96720
Phone (808) 969-1427

74-5118 Kealakaa St
Kailua Kona, HI 96740
Phone (808) 326-3878

75-5751 Kuakini Hwy
Ste 101A
Kailua Kona, HI 96740

81-6627 Mamalahoa Hwy
Kealakekua, HI 96750
Phone (808) 323-2600

81-6627 Mamalahoa Hwy
#105W
Kealakekua, HI 96750
Phone (808) 323-8005

81-980 Halekii St
Ste 107
Kealakekua, HI 96750
Phone (808) 324-0703

15-2866 Pahoa Village Rd
Pahoa, HI 96778
Phone (808) 965-3073

15-2866 Pahoa Village Rd
Bldg C
Pahoa, HI 96778
Phone (808) 965-9711

15-890 Kahakai Blvd
Pahoa, HI 96778
Phone (808) 965-2131

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Marlo Lyman-Kekaualua Individual Corporate DirectorBoard Member Jul 1, 2023
Richard J Taaffe Individual Corporate OfficerChief Executive Officer Oct 31, 2005
W-2 Managing EmployeeChief Financial Chief Oct 31, 2005
Brandee Menino Individual Corporate DirectorBoard Member Jul 1, 2024
Patti Aoki Individual Corporate DirectorBoard Member Jul 3, 2024
Britta Zimmer Individual Corporate DirectorBoard Member Jul 1, 2022
Peter Hoffmann Individual Corporate DirectorBoard Member Mar 24, 2022
Tom Hasslinger Individual Corporate DirectorBoard Member Mar 24, 2022
Douglass Adams Individual Corporate Director Jul 2, 2025
Michael Matsukawa Individual Corporate OfficerBoard Chair Mar 24, 2022
Corporate DirectorBoard Member Mar 24, 2022
Larry McCabe Individual Corporate DirectorBoard Member Jul 2, 2025
Elisa Yadao Individual Corporate DirectorBoard Member Mar 24, 2022
Haidee O Abe Individual Corporate DirectorBoard Member Jul 1, 2022
Victoria K Hanes Individual Corporate OfficerChief Operating Officer May 26, 2020
W-2 Managing EmployeeChief Operating Officer Aug 30, 2010
Jesse Ebersole Individual Corporate DirectorBoard Member Oct 2, 2024
Diane Pautz Individual Corporate OfficerChief Financial Officer Jul 28, 2008
W-2 Managing EmployeeChief Financial Chief Jul 28, 2008
Dalilah Schlueter Individual Corporate DirectorBoard Member Oct 2, 2024
Katharyn Daub Individual Corporate DirectorBoard Member Jul 1, 2022
Michael McGee Individual Corporate DirectorBoard Member Jul 1, 2024

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Practitioners & affiliated clinicians

Practitioners 96

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.

View all 96

NPI Registry JSON

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

{
    "created_epoch": "1754006400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1754006400000",
    "number": "1861376907",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "75-5751 KUAKINI HWY STE 203",
            "city": "KAILUA KONA",
            "state": "HI",
            "postal_code": "967401753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15-890 KAHAKAI BLVD",
            "city": "PAHOA",
            "state": "HI",
            "postal_code": "967789653",
            "telephone_number": "808-326-5629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WEST HAWAII COMMUNITY HEALTH CENTER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-08-01",
        "last_updated": "2025-08-01",
        "certification_date": "2025-08-01",
        "status": "A",
        "authorized_official_last_name": "TAAFFE",
        "authorized_official_first_name": "RICHARD",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-326-3884"
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hawaii Island Community Health Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Keonepoko Elementary - School-Based Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Pahoa, HI

Sources for this page

Verify at the official NPI Registry.