Organization
KO OLAULOA HEALTH CENTER
Active
Parent organization
KO'OLAULOA HEALTH CENTER
Other names
Ko'olauloa Community Health and Wellness Center, RRHC Dental
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
56-490 KAMEHAMEHA HWY, ROOM R104, KAHUKU, HI 96731-2200
(808) 293-9216
(808) 293-5390
Mailing address
PO BOX 395, KAHUKU, HI 96731-0395
(808) 293-9216
(808) 293-5390
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
CSDT57
HI
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Enumeration date
01/10/2013
Last updated
07/05/2022
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