NPIMap

Organization Active NPI

Hana Health

  • Federally Qualified Health Center (FQHC)
  • Hana, HI
National Provider Identifier
1992811954
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Federally Qualified Health Center (FQHC)Taxonomy code 261QF0400X
License
121822 Issued in HI
Legal business name
HANA HEALTH
Practice address
4590 Hana Highway
Hana, HI 96713
Phone
(808) 248-7515
Fax
(808) 248-7223
NPI assigned
Aug 22, 2006
Last updated
Aug 22, 2020By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mr. Peter M Metz
Title
Operations Director
Phone
(808) 248-7515

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Federally Qualified Health Center (FQHC) 261QF0400X 121822 HI Primary

Addresses

Primary practice location

4590 Hana Highway
Hana, HI 96713

Mailing address

PO Box 807
Hana, HI 96713-0807
Phone (808) 248-7515

Other names 1

  • HanaCommunity Helath Center Former legal business name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20031105000335 HI Part A Provider - Federally Qualified Health Center (FQHC) 0749192920 Practice locations: Hana, HI
O20191227001672 HI Part B Supplier - Clinic/Group Practice 0749192920 Receives reassigned benefits from 23 practitioners
Practice locations: Hana, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992811954. Details of each certification follow.

Federally qualified health center certification: CCN 121822

Legal name
HANA HEALTH
Doing business as
HANA 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
Organization structure
CorporationNon-profit
Incorporated
Nov 3, 1995 in HI
Enrollment address
4590 Hana Highway
Hana, HI 96713

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Adelphia Emmsley Individual Corporate DirectorDirector Oct 13, 2017
Mei-Ling Hoopai Individual Corporate Director Jun 1, 2011
Michelle Kaauamo Individual Corporate DirectorDirector Oct 1, 2017
Kaukaohulani V. Morton Individual Corporate DirectorDirector Nov 16, 2018
Hii'Lani Aiona Individual Corporate DirectorDirector Oct 19, 2018
Peter M Metz Individual W-2 Managing Employee May 20, 2002
Stanley Akoi Individual Corporate DirectorDirector Oct 1, 2015
William K Kalani Individual Corporate DirectorDirector Jun 1, 2011
Cheryl Vasconcellos Individual Corporate OfficerExecutive Director Mar 15, 1997
W-2 Managing EmployeeExecutive Director Mar 15, 1997
Melanie Coates Individual Corporate Director Oct 16, 2011
John Kahalehoe Individual Corporate Director Jun 30, 2003
Terri a Signaigo Individual W-2 Managing Employee Mar 17, 2003

Practitioners & affiliated clinicians

Practitioners 36

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 36

NPI Registry JSON

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

{
    "created_epoch": "1156204800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1992811954",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 807",
            "city": "HANA",
            "state": "HI",
            "postal_code": "967130807",
            "telephone_number": "808-248-7515",
            "fax_number": "808-248-7223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4590 HANA HIGHWAY",
            "city": "HANA",
            "state": "HI",
            "postal_code": "96713",
            "telephone_number": "808-248-7515",
            "fax_number": "808-248-7223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HANA HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-22",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "METZ",
        "authorized_official_first_name": "PETER",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OPERATIONS DIRECTOR",
        "authorized_official_telephone_number": "808-248-7515",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QF0400X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Federally Qualified Health Center (FQHC)",
            "state": "HI",
            "license": "121822",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "HanaCommunity Helath Center",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Hana, HI

Sources for this page

Verify at the official NPI Registry.