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Hana Health

Organization Active NPI Federally Qualified Health Center (FQHC) · Hana, HI

NPI 1992811954 · NPPES record last updated Aug 22, 2020

Key facts

NPI
1992811954
Entity type
Organization (NPI type 2)
Primary specialty
Federally Qualified Health Center (FQHC) 261QF0400X
License
121822 (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
Organization subpart
No

Authorized official

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

Practitioners 36

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 36

Medicare participation

Medicare fee-for-service enrollment
Enrolled (2 enrollments) in HI

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
Corporation · Non-profit
Incorporated
Nov 3, 1995 in HI
Enrollment address
4590 Hana Highway
Hana, HI 96713

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 Director
Director		 Oct 13, 2017
Mei-Ling Hoopai
Individual 		Corporate Director Jun 1, 2011
Michelle Kaauamo
Individual 		Corporate Director
Director		 Oct 1, 2017
Kaukaohulani V. Morton
Individual 		Corporate Director
Director		 Nov 16, 2018
Hii'Lani Aiona
Individual 		Corporate Director
Director		 Oct 19, 2018
Peter M Metz
Individual 		W-2 Managing Employee May 20, 2002
Stanley Akoi
Individual 		Corporate Director
Director		 Oct 1, 2015
William K Kalani
Individual 		Corporate Director
Director		 Jun 1, 2011
Cheryl Vasconcellos
Individual 		Corporate Officer
Executive Director		 Mar 15, 1997
W-2 Managing Employee
Executive 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

Medicare enrollment records

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

National Provider Directory

Specialties & licenses

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

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

  • HanaCommunity Helath Center Former legal business name

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Aug 22, 2020.

{
    "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

All providers in Hana, HI · Federally Qualified Health Center (FQHC) in Hawaii

Sources for this page

Verify at the official NPI Registry.