KAHUKU MEDICAL CENTER
NPI 1780125179
Clinic/Center - Rural Health in Kahuku, HI

NPI Status: Active since March 17, 2017

Contact Information

56-117 PUALALEA ST
KAHUKU, HI
ZIP 96731
Phone: (808) 293-6269
Fax: (808) 293-1574

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 12D0909628
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 12-11-2025

About KAHUKU MEDICAL CENTER

This page provides the complete NPI Profile along with additional information for Kahuku Medical Center, a primary care provider established in Kahuku, Hawaii operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1780125179 assigned on March 2017. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 9 years ago. The authorized official of this NPI record is Mr. Jerome Flores (Cfo Coo)

NPI
1780125179
Provider Name
KAHUKU MEDICAL CENTER
Entity Type
Organization
Location Address
56-117 PUALALEA ST KAHUKU, HI 96731
Location Phone
(808) 293-6269
Location Fax
(808) 293-1574
Mailing Address
56-117 PUALALEA ST KAHUKU, HI 96731
Mailing Phone
(808) 293-6269
Mailing Fax
(808) 293-1574
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
03-17-2017
Last Update Date
03-17-2017
Code Navigator

A primary care provider (PCP) like Kahuku Medical Center sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. JEROME FLORES

Authorized Official Title
CFO COO
Authorized Official Phone
(808) 293-6224

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D0909628
Facility Type
Rural Health Clinic
Certificate Effective Date
December 12, 2023
Certificate Expiration Date
December 11, 2025
Laboratory Director
ERLINDA ROSE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kahuku Medical Center to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KAHUKU MEDICAL CENTER

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NPI NPI Number Validation

How NPI Validation Works

The NPI validation process uses the ISO-standard Luhn algorithm, a mathematical "handshake", to ensure that a provider's 10-digit ID is authentic and free of common typing errors.

To verify the NPI 1780125179, we treat the final digit (9) as the Check Digit—the target answer we need to reach. The process begins by taking the first nine digits and adding a constant value of 24, which accounts for the "80840" prefix required for all U.S. health identifiers. We then double every other digit starting from the right and sum the individual digits of those results together. For this specific NPI, that total comes to 51. The final step is to find the difference between that total and the next multiple of ten (60 - 51 = 9).

Digit-by-digit view

Use the first nine digits for the calculation. Starting from the right, double every other digit. The last digit is the check digit and is not part of the calculation.

Pos 1
1
Doubled → 2
Pos 2
7
Unchanged
Pos 3
8
Doubled → 16 → 1 + 6
Pos 4
0
Unchanged
Pos 5
1
Doubled → 2
Pos 6
2
Unchanged
Pos 7
5
Doubled → 10 → 1 + 0
Pos 8
1
Unchanged
Pos 9
7
Doubled → 14 → 1 + 4
Check
9
Target digit
Regular digit Doubled digit Check digit

Step 1: Double every other digit from the right

Starting with the rightmost digit of the first nine digits, double every other value. If doubling creates a two-digit number, add those digits together.

1 → 2 8 → 16 → 7 1 → 2 5 → 10 → 1 7 → 14 → 5

Step 2: Add all digits plus the NPI constant

Add the transformed values, the unchanged digits, and the constant 24.

2 + 7 + 1 + 6 + 0 + 2 + 2 + 1 + 0 + 1 + 1 + 4 + 24 = 51

Step 3: Find the amount needed to reach the next multiple of 10

The next multiple of ten after 51 is 60. The difference is the calculated check digit.

60 - 51 = 9
This NPI is valid
The calculated check digit is 9, which matches the last digit of 1780125179.

Other Providers at the Same Location


The following 20 providers are registered at the same or a nearby location.

General Acute Care Hospital (Critical Access)
56-117 PUALALEA ST
KAHUKU, HI 96731
Family Medicine
56-117 PUALALEA ST
KAHUKU, HI 96731
Pharmacist (Pharmacotherapy)
56-117 PUALALEA ST
KAHUKU, HI 96731
Specialist
56-117 PUALALEA ST
KAHUKU, HI 96731
Case Management
56-117 PUALALEA ST
KAHUKU, HI 96731
Pharmacy (Institutional Pharmacy)
56-117 PUALALEA ST
KAHUKU, HI 96731
Specialist
56-117 PUALALEA ST
KAHUKU, HI 96731
General Acute Care Hospital (Critical Access)
56-117 PUALALEA ST
KAHUKU, HI 96731
Nursing Facility/Intermediate Care Facility
56-117 PUALALEA ST
KAHUKU, HI 96731
Medicare Defined Swing Bed Unit
56-117 PUALALEA ST
KAHUKU, HI 96731
Case Management
56-117 PUALALEA ST
KAHUKU, HI 96731
Marriage & Family Therapist
56-117 PUALALEA ST
KAHUKU, HI 96731
Social Worker (Clinical)
56-117 PUALALEA ST
KAHUKU, HI 96731
Nurse Practitioner (Family)
56-117 PUALALEA ST
KAHUKU, HI 96731
Physical Therapist
56-117 PUALALEA ST
KAHUKU, HI 96731
Psychologist (Clinical)
56-117 PUALALEA ST
KAHUKU, HI 96731
Nurse Practitioner (Family)
56-117 PUALALEA ST
KAHUKU, HI 96731
Psychologist (Clinical)
56-117 PUALALEA ST
KAHUKU, HI 96731
Psychologist (Clinical)
56-117 PUALALEA ST
KAHUKU, HI 96731
Nurse Practitioner (Family)
56-117 PUALALEA ST
KAHUKU, HI 96731

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1780125179, enumerated as an "organization" on March 17, 2017.

The provider is located at 56-117 PUALALEA ST KAHUKU, HI 96731 and the phone number is (808) 293-6269.

Clinic/Center with taxonomy code 261QR1300X and a focus in Rural Health.

The provider might be accepting Accepts: HMSA. Please consult your insurance carrier or call the provider to verify.