Organization
WEST HAWAII COMMUNITY HEALTH CENTER, INC.
Active
Other names
Hawaii Island Community Health Center, Hilo Family Dental Center
Organization subpart
No
Provider details
NPI number
Authorized official
RICHARD J TAAFFE (CHIEF EXECUTIVE OFFICER)
(808) 326-3884
Entity
Organization
Contact information
Practice address
1257 KILAUEA AVE, SUITE 100, HILO, HI 96720-4205
(808) 333-3600
(808) 961-5678
Mailing address
75-5751 KUAKINI HWY STE 203, KAILUA KONA, HI 96740-1753
(808) 756-2927
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
—
—
261QF0400X
Federally Qualified Health Center (FQHC)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
696734
—
HI
Enumeration date
10/11/2011
Last updated
09/12/2023
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