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General NPI Number Information
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NPI Number | 1093868416
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Entity Type | Organization
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Legal Business Name | HAMAKUA HEALTH CENTER, INC.
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Dates
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Enumeration Date | 01/19/2007
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Last Update Date | 01/09/2023
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Provider Practice Location Address
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Address Line | 53-3925 AKONI PULE HWY KOHALA FAMILY HEALTH CENTER
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City | KAPA'AU
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State | HI
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Zip | 96755
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Country | US
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Telephone | 808-889-6236
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Fax | 808-889-0107
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Provider Business Mailing Address
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Address Line | 45-549 PLUMERIA ST
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City | HONOKAA
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State | HI
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Zip | 96727-6902
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Country | US
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Telephone | 808-775-7204
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Fax | 808-775-9404
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Authorized Official
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Title or Position | CEO
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Name | IRENE J CARPENTER
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Credential |
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Telephone | 808-775-7204
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 261QF0400X
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Taxonomy Name | Federally Qualified Health Center (FQHC)
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License Number |
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License Number State |
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