Organization
HOOLA LAHUI HAWAII
Active
Other names
Kauai Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
DAVID J PETERS (CEO)
(808) 240-0100
Entity
Organization
Contact information
Practice address
4643B WAIMEA CANYON DRIVE, WAIMEA, HI 96796-0487
(808) 240-0100
(808) 245-4146
Mailing address
PO BOX 3990, LIHUE, HI 96766-6990
(808) 240-0100
(808) 245-4146
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00D0230823
HMSA FQHC 65C
HI
05
—
523979
—
HI
Enumeration date
07/03/2006
Last updated
07/21/2022
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