Provider Demographics
NPI:1144949967
Name:ALI'I HEALTH CENTER
Entity type:Organization
Organization Name:ALI'I HEALTH CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:INTERIM PRESIDENT/CEO
Authorized Official - Prefix:
Authorized Official - First Name:SHELLY-ANN
Authorized Official - Middle Name:LEINANI
Authorized Official - Last Name:CATARAHA
Authorized Official - Suffix:
Authorized Official - Credentials:MHA
Authorized Official - Phone:808-909-3212
Mailing Address - Street 1:75-5905 WALUA RD STE 4
Mailing Address - Street 2:
Mailing Address - City:KAILUA KONA
Mailing Address - State:HI
Mailing Address - Zip Code:96740-5315
Mailing Address - Country:US
Mailing Address - Phone:808-331-7960
Mailing Address - Fax:
Practice Address - Street 1:75-5905 WALUA RD STE 4
Practice Address - Street 2:
Practice Address - City:KAILUA KONA
Practice Address - State:HI
Practice Address - Zip Code:96740-5315
Practice Address - Country:US
Practice Address - Phone:808-331-7960
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:ALI'I HEALTH CENTER
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-08-24
Last Update Date:2022-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QA1903XAmbulatory Health Care FacilitiesClinic/CenterAmbulatory Surgical