KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES
NPI 1114074622
Clinic/Center - Federally Qualified Health Center (FQHC) in Honolulu, HI

Q: What is Kokua Kalihi Valley Comprehensive Family Services's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Federally Qualified Health Center (FQHC), with taxonomy code 261QF0400X.

Active since January 05, 2007CLIA 12D0621308 · Microscopy

2239 N SCHOOL ST, HONOLULU, HI 96819(808) 791-9400(808) 848-0979 Get Directions Write a Review

NPPES record last updated: November 25, 2014. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Kokua Kalihi Valley Comprehensive Family Services NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES (NPI 1114074622) is a healthcare organization registered as a federally qualified health center (fqhc) in Honolulu, Hawaii and active in the NPI registry since January 2007. The organization holds a CLIA Microscopy certificate valid through August 31, 2026 and lists David Derauf, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1114074622

Entity TypeOrganization

Primary Taxonomy261QF0400X

Legal Business NameKOKUA KALIHI VALLEY COMPREHENSIVE FAMILY SERVICES

Location Address2239 N SCHOOL STHonolulu, HI 96819-2539

Mailing Address2239 N School StHonolulu, HI 96819-2539 · (808) 791-9400 · Fax (808) 848-0979

Phone(808) 791-9400

Fax(808) 848-0979

Organization SubpartNo

Authorized OfficialDavid DeraufExecutive Director · (808) 791-9400

Enumeration DateJanuary 5, 2007

Last NPPES UpdateNovember 25, 2014

✔ NPI 1114074622 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Federally Qualified Health Center (FQHC)Ambulatory Health Care Facilities

Taxonomy Code261QF0400X

2239 N SCHOOL ST, Honolulu, HI 96819

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Other Identifiers 3

Medicare UPINHKKVHHI

Other121800HI · Medicare Id

Medicaid598237HI

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include BlueCross BlueShield of Tennessee, HMSA.Insurance ›

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate for Provider-Performed Microscopy Procedures (PPMP) 12D0621308

Kokua Kalihi Valley Comprehensive Family Services · Honolulu, HI

Active · expires Aug 31, 2026

CLIA Number12D0621308

Laboratory TypeFederally Qualified Health Center

Certificate Effective DateSeptember 1, 2024

Certificate Expiration DateAugust 31, 2026

Laboratory DirectorLaura C. Devilbiss

Laboratory Phone(808) 791-9400

Laboratory LocationKokua Kalihi Valley Comprehensive Family Services2239 North School Street, Honolulu, HI 96819

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory in which a physician, midlevel practitioner or dentist performs no tests other than the microscopy procedures. This certificate permits the laboratory to also perform waived tests.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. KRISELLE GAEA MIRO GINES MD

Pediatrics