KEA'AU FAMILY HEALTH AND DENTAL
NPI 1104874619
Clinic/Center - Federally Qualified Health Center (FQHC) in Keaau, HI
About Kea'au Family Health And Dental NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
KEA'AU FAMILY HEALTH AND DENTAL (NPI 1104874619), doing business as Hawaii Island Community Health Center, is a healthcare organization registered as a federally qualified health center (fqhc) in Keaau, Hawaii and active in the NPI registry since May 2006. The organization lists Richard J Taaffe, Ceo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 2
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Kea'au Family Health And Dental is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Clinicians Billing Medicare Through This Organization
20Medicare enrollment records show 20 clinicians reassign Medicare billing to Kea'au Family Health And Dental, which bills Medicare for the services they deliver. Of these, 10 practice within 10 miles. They are listed nearest first.
Clinicians by Medicare Specialty 7
Clinicians, nearest first (20)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is West Hawaii Community Health Center, Inc.'s NPI number?
The NPI number for West Hawaii Community Health Center, Inc. is 1104874619. It was assigned to this organization in the NPPES registry on May 5, 2006. The provider is doing business as Hawaii Island Community Health Center. The provider is also known as Kea'au Family Health And Dental.
Where is West Hawaii Community Health Center, Inc. located?
West Hawaii Community Health Center, Inc. is located at 16-192 Pili Mua St, Keaau, HI 96749. The listed phone number is (808) 930-0400.
What is West Hawaii Community Health Center, Inc.'s specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.
Is West Hawaii Community Health Center, Inc. enrolled in Medicare?
Yes. West Hawaii Community Health Center, Inc. is registered in the Medicare PECOS enrollment system.
How many clinicians bill Medicare through West Hawaii Community Health Center, Inc.?
According to the CMS Revalidation Reassignment List (October 2026 release), 20 clinicians in 7 Medicare specialties reassign their Medicare billing to West Hawaii Community Health Center, Inc.. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (8), Family Practice (6) and Clinical Psychologist (2). Of these, 10 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
When was this NPI record last updated?
The NPPES record for West Hawaii Community Health Center, Inc. was last updated on September 12, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Kea'au Family Health And Dental · NPI 1104874619
Federally Qualified Health Center (FQHC) organization in Keaau, Hawaii. Organization record, active in the CMS NPPES registry since May 5, 2006.
## Identity
- **NPI:** 1104874619 (Entity type: Organization)
- **Enumerated:** May 5, 2006
- **Primary specialty:** Clinic/Center - Federally Qualified Health Center (FQHC) · taxonomy 261QF0400X
- **Legal business name:** West Hawaii Community Health Center, Inc.
- **Also known as:** Hawaii Island Community Health Center (Doing Business As)
- **Organization subpart:** No
- **Authorized official:** Richard Taaffe, CEO
## Practice location
- **Address:** 16-192 PILI MUA ST, Keaau, HI 96749-8134
- **Phone:** (808) 930-0400 · **Fax:** (808) 961-5678
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Clinicians billing through this organization:** 20 clinicians in 7 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (8), Family Practice (6), Clinical Psychologist (2); 10 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** September 12, 2023
- **Other identifiers:** Medicaid 592528 (HI)
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Source: [NPI Profile](https://npiprofile.com/npi/1104874619) · Data from the CMS NPPES public registry.