Kokua Kalihi Valley Comprehensive Family Services in Honolulu - Federally Qualified Health Center (fqhc)
Kokua Kalihi Valley Comprehensive Family Services - NPI 1114074622
Kokua Kalihi Valley Comprehensive Family Services is a Federally Qualified Health Center (fqhc) in Honolulu, Hawaii. Kokua Kalihi Valley Comprehensive Family Services practices all healthcare services and medical treatments related to Federally Qualified Health Center (fqhc). The NPI Number for Kokua Kalihi Valley Comprehensive Family Services is 1114074622. The last update date is 2014-11-25.
Kokua Kalihi Valley Comprehensive Family Services's current location address is 2239 N School St, Honolulu, Hawaii. You can contact this provider via phone number 8087919400 and fax number 8088480979. The mailing address for Kokua Kalihi Valley Comprehensive Family Services is 2239 N School St, Honolulu, Hawaii. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kokua Kalihi Valley Comprehensive Family Services |
|---|---|
| Address | 2239 N School St, Honolulu, Hawaii |
| Phone Number | 8087919400 |
| Fax Number | 8088480979 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | EXECUTIVE |
|---|---|
| Authorized Official Name | Derauf David |
| Credentials | MD |
| Telephone Number | 8087919400 |
NPI Number Detail
| NPI Number | 1114074622 |
|---|---|
| Provider Enumeration Date | 2007-01-05 |
| Last Updated Date | 2014-11-25 |
Provider Mailing Address Detail
| Address | 2239 N School St |
|---|---|
| City | Honolulu |
| State | Hawaii (HI) |
| Post Code | 968192539 |
| Phone Number | 8087919400 |
| Fax Number | 8088480979 |
Provider's Primary Taxonomy Detail
| Speciality | Federally Qualified Health Center (fqhc) |
|---|---|
| Taxonomy | 261Qf0400X |
|
Definition: Provides primary and preventive care services in underserved areas, receiving certain federal funding grants. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 121800 | HI | MEDICARE ID | |
| 598237 | HI | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Kokua Kalihi Valley Comprehensive Family Services by the Centers for Medicare & Medicaid Services?
The Kokua Kalihi Valley Comprehensive Family Services has been issued the NPI (National Provider Identifier) 1114074622 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Kokua Kalihi Valley Comprehensive Family Services is physically located?
The Kokua Kalihi Valley Comprehensive Family Services is physically situated at the following address: 2239 N School St, Honolulu, HI, 968192539.
What is Kokua Kalihi Valley Comprehensive Family Services's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kokua Kalihi Valley Comprehensive Family Services's specialized field of practice is Federally Qualified Health Center (fqhc), and the corresponding taxonomy code that categorizes this area of specialization is 261Qf0400X.
On what date did Kokua Kalihi Valley Comprehensive Family Services receive its 1114074622 assignment from the Centers for Medicare & Medicaid Services?
The Kokua Kalihi Valley Comprehensive Family Services was assigned its 1114074622 on 2007-01-05, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Kokua Kalihi Valley Comprehensive Family Services most recently updated or revised?
The details related to Kokua Kalihi Valley Comprehensive Family Services, including its address, specialty, and other relevant information, were last updated or revised on 2014-11-25.