Provider Demographics
NPI:1235908831
Name:KALIHI-PALAMA HEALTH CENTER
Entity Type:Organization
Organization Name:KALIHI-PALAMA HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:EMMANUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:KINTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:808-791-6315
Mailing Address - Street 1:PO BOX 17460
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96817-0460
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:431 KUWILI ST
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96817-5051
Practice Address - Country:US
Practice Address - Phone:808-210-5963
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:KALIHI-PALAMA HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-12-22
Last Update Date:2023-12-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QF0400XAmbulatory Health Care FacilitiesClinic/CenterFederally Qualified Health Center (FQHC)