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General NPI Number Information
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NPI Number | 1265482624
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Entity Type | Organization
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Legal Business Name | WEST HAWAII COMMUNITY HEALTH CENTER, INC.
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Dates
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Enumeration Date | 05/10/2006
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Last Update Date | 09/12/2023
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Provider Practice Location Address
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Address Line | 15-2866 PAHOA VILLAGE RD BLDG C
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City | PAHOA
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State | HI
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Zip | 96778-7720
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Country | US
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Telephone | 808-965-9711
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Fax | 808-965-6240
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Provider Business Mailing Address
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Address Line | 75-5751 KUAKINI HWY STE 203
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City | KAILUA KONA
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State | HI
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Zip | 96740-1753
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Country | US
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Telephone | 808-326-5629
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Fax |
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Authorized Official
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Title or Position | CEO
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Name | RICHARD J TAAFFE
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Credential |
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Telephone | 808-326-3884
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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 | HI
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