Organization
LANAI COMMUNITY HEALTH CENTER
Active
Organization
LANAI COMMUNITY HEALTH CENTER
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JACEY G LABORTE (CHIEF EXECUTIVE OFFICER)
(808) 649-5407
Entity
Organization
Contact information
Practice address
333 SIXTH ST, LANAI CITY, HI 96763
(808) 565-6919
Mailing address
PO BOX 630142, PO BOX 630142, LANAI CITY, HI 96763-0142
(808) 565-6919
(808) 565-9111
Taxonomy
Speciality
Code
Description
License number
State
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
121854
—
HI
05
—
509596
—
HI
Enumeration date
11/15/2007
Last updated
05/08/2026
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