Organization
MOLOKAI OHANA HEALTH CARE, INC.
Active
Other names
Molokai Community Health Center
Organization subpart
No
Provider details
NPI number
Authorized official
HELEN KEKALIA (CHIEF EXECUTIVE OFFICER)
(808) 660-2601
Entity
Organization
Contact information
Practice address
30 OKI PLACE, KAUNAKAKAI, HI 96748-2040
(808) 553-5038
Mailing address
PO BOX 2040, KAUNAKAKAI, HI 96748-2040
(808) 553-5038
Taxonomy
Speciality
Code
Description
License number
State
261Q00000X
Clinic/Center
—
HI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0000245530
HMSA /PPO, HMO,QST
HI
05
—
550724-01
—
HI
Enumeration date
10/04/2005
Last updated
11/02/2021
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