Organization
KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID DERAUF MD (EXECUTIVE DIRECTOR)
(808) 791-9400
Entity
Organization
Contact information
Practice address
2239 N SCHOOL ST, HONOLULU, HI 96819-2539
(808) 791-9400
(808) 848-0979
Mailing address
2239 N SCHOOL ST, HONOLULU, HI 96819-2539
(808) 791-9400
(808) 848-0979
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
121800
MEDICARE ID
HI
05
—
598237
—
HI
Enumeration date
01/05/2007
Last updated
11/25/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us