NPIMap

Organization Active NPI

Hoola Lahui Hawaii

  • Federally Qualified Health Center (FQHC)
  • Kapa'a, HI
National Provider Identifier
1891098513
Registry record updated Jun 2, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
Legal business name
HOOLA LAHUI HAWAII
Practice address
4800 Kawaihau Rd Ste D
Kapaa, HI 96746-1964
Phone
(808) 240-0140
Fax
(808) 245-4146
NPI assigned
Dec 20, 2010
Last updated
Jun 2, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 2, 2022

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

Authorized official

Name
David J Peters
Title
Ceo
Phone
(808) 240-0100

Specialties & licenses 1

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

Addresses

Primary practice location

4800 Kawaihau Rd Ste D
Kapaa, HI 96746-1964

Mailing address

PO Box 3990
Lihue, HI 96766-6990
Phone (808) 240-0100

Other names 1

  • Kauai Community Health Center Other name

Medicare participation

Medicare enrollment files
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 1891098513. Details of each certification follow.

  • CCN 121821 Federally qualified health center · Active · Name & address match · Details

Federally qualified health center certification: CCN 121821

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
KAUA'I COMMUNITY HEALTH CENTER
Certification status
Active
Provider type (POS)
Federally qualified health center
Participating since
Jan 8, 2004
Last certification
Jan 8, 2004
Ownership / control type
For profit – corporation
Facility address
4800 Kawaihau Road
Kapaa, HI 96746
Related CCNs
121818

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
12D1021610Ho'Ola Lahui Hawaii Kauai Community Health Ctr4800D Kawaihau Road, Kapaa, HI 96746Certificate of waiverJan 26, 2028

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 28

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 28

NPI Registry JSON

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

{
    "created_epoch": "1292803200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654128000000",
    "number": "1891098513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3990",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967666990",
            "telephone_number": "808-240-0100",
            "fax_number": "808-245-4146"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4800 KAWAIHAU RD STE D",
            "city": "KAPAA",
            "state": "HI",
            "postal_code": "967461964",
            "telephone_number": "808-240-0140",
            "fax_number": "808-245-4146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOOLA LAHUI HAWAII",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-20",
        "last_updated": "2022-06-02",
        "certification_date": "2022-06-02",
        "status": "A",
        "authorized_official_last_name": "PETERS",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-240-0100"
    },
    "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": "Kauai Community Health Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kapa'a, HI

Sources for this page

Verify at the official NPI Registry.