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Organization

KO OLAULOA HEALTH CENTER

Active
Parent organization
KO'OLAULOA HEALTH CENTER
Other names
Ko'olauloa Community Health and Wellness Center, Hauula Medical
Organization subpart
Yes

Provider details

NPI number
Legal business name
KO'OLAULOA HEALTH CENTER
Authorized official
TERRENCE H ARATANI (CEO)
(808) 792-3840
Entity
Organization

Contact information

Practice address
54-316 KAMEHAMEHA HWY, HAUULA, HI 96717
(808) 293-9216
Mailing address
P.O. BOX 395, KAHUKU, HI 96731
(808) 293-9216
(808) 293-5390

Taxonomy

Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
HI

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
121842
PTAN
HI
Enumeration date
12/27/2013
Last updated
07/05/2022
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