Healthcare Provider Details

I. General information

NPI: 1255812137
Provider Name (Legal Business Name): WEST HAWAII COMMUNITY HEALTH CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/28/2018
Last Update Date: 01/30/2024
Certification Date: 01/30/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16-192 PILI MUA STREET
KEAAU HI
96749-8134
US

IV. Provider business mailing address

75-5751 KUAKINI HWY STE 203
KAILUA KONA HI
96740-1753
US

V. Phone/Fax

Practice location:
  • Phone: 808-930-0488
  • Fax: 808-331-6488
Mailing address:
  • Phone: 808-930-0488
  • Fax: 808-331-6488

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code1835P0018X
TaxonomyPharmacist Clinician (PhC)/ Clinical Pharmacy Specialist
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code3336C0002X
TaxonomyClinic Pharmacy
License Number
License Number StateHI

VIII. Authorized Official

Name: MR. RICHARD TAAFFE
Title or Position: CEO
Credential:
Phone: 808-326-3878