# KALIHI-PALAMA HEALTH CENTER

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Kalihi-Palama Health Center
- **Organization subpart:** No

## Provider details

- **NPI number:** 1215679592
- **Authorized official:** EMMANUEL KINTU (EXECUTIVE DIRECTOR/CEO)
- **Authorized official phone:** (808) 791-6315

## Contact information

- **Practice address:** 915 N KING ST, HONOLULU, HI 96817-4544
- **Practice address phone:** (808) 848-1438
- **Mailing address:** PO BOX 17460, HONOLULU, HI 96817-0460

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 104100000X | Social Worker | — | NULL | — |
| 104100000X | Social Worker | — | — | — |
| 1223G0001X | General Practice Dentistry | — | NULL | — |
| 1223G0001X | General Practice Dentistry | — | — | — |
| 207Q00000X | Family Medicine Physician | — | NULL | Yes |
| 207Q00000X | Family Medicine Physician | — | — | Yes |
| 207QA0505X | Adult Medicine Physician | — | NULL | — |
| 207QA0505X | Adult Medicine Physician | — | — | — |
| 208000000X | Pediatrics Physician | — | NULL | — |
| 208000000X | Pediatrics Physician | — | — | — |
| 261QF0400X | Federally Qualified Health Center (FQHC) | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | NULL | — |
| 363L00000X | Nurse Practitioner | — | — | — |
| 363LF0000X | Family Nurse Practitioner | — | NULL | — |
| 363LF0000X | Family Nurse Practitioner | — | — | — |

## Other

- **Enumeration date:** 04/08/2022
- **Last updated:** 04/08/2022