1528026952 NPI number — KO OLAULOA HEALTH CENTER

Table of content: (NPI 1528026952)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1528026952 NPI number — KO OLAULOA HEALTH CENTER

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
KO OLAULOA HEALTH CENTER
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1528026952
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
07/05/2022
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 395
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
KAHUKU
Provider Business Mailing Address State Name:
HI
Provider Business Mailing Address Postal Code:
96731
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
808-293-9231
Provider Business Mailing Address Fax Number:
808-293-5390

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
56-119 PUALALEA ST.
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
KAHUKU
Provider Business Practice Location Address State Name:
HI
Provider Business Practice Location Address Postal Code:
96731
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
808-293-9231
Provider Business Practice Location Address Fax Number:
808-293-5390
Provider Enumeration Date:
05/03/2006

Additional Information

Authorized Official

Authorized Official Last Name:
ARATANI
Authorized Official First Name:
TERRENCE
Authorized Official Middle Name:
H
Authorized Official Title or Position:
CEO
Authorized Official Telephone Number:
808-792-3840

Provider Taxonomy Codes

  • Taxonomy code: 261QF0400X , registered in the state of HI ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)

  • Identifier: 00C0263800 . This is a "KALAMA NIHEU, MD - HMSA (PUALALEA)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00F0052461 . This is a "HARRY ASHE, MD - HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00G00228457 . This is a "MIRIAM CHANG, MD - HMSA (PUALALEA)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 50178505 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00E0228451 . This is a "MIRIAM CHANG, MD - HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00F0228459 . This is a "MIRIAM CHANG, MD - HMSA (HAUULA)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00G0052469 . This is a "HARRY ASHE, MD - HMSA (HAUULA)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 08802105 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 581977 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00A0250603 . This is a "KCHWC - HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00C0228910 . This is a "NATIVIDAD HOPEWELL - HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00E0228915 . This is a "NATIVIDAD HOPEWELL, APRN - HMSA (PUALALEA)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00H0052467 . This is a "HARRY ASHE, MD - HMSA (PUALALEA)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 55384302 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00D0228918 . This is a "NATIVIDAD HOPEWELL, APRN - HMSA (HAUULA)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 50104005 , issued by the state of ( HI ) . This identifiers is of the category "MEDICAID".
  • Identifier: 00A0244754 . This is a "BRENDA HARPER, APRN-HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00J0205359 . This is a "DOUGLAS SUTHERLAND, MD - HMSA (PUALALEA)" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 0000250605 . This is a "KCHWC - HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".
  • Identifier: 00B0214839 . This is a "GARY PITT, DPM - HMSA" identifier , issued by the state of ( HI ) . This identifiers is of the category "OTHER".




Copyright © 2007-2025 www.npivalidator.com