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CH092290 WAIMANALO HEALTH CENTER (Active)
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Main Details
Name
WAIMANALO HEALTH CENTER
Subdivision Name
WAIMANALO HEALTH CENTER
Type
HRSA-Funded Health Center
Site ID
BPS-H80-000438
340B ID
CH092290
Grant Number
H80CS00646
Additional Details
Current Program Status
Active
Registration Date
2/21/2023
Participating Start Date
4/1/2023
Participating Approval Date
2/22/2023
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Waimanalo Health Center
MARY ONEHA, CEO
(808) 954-7107
Primary Contact
Waimanalo Health Center
Patricia L Sutton, COO
(808) 954-7103
Addresses
Street Address
41-1347 Kalanianaole Hwy
Waimanalo, HI 96795-1247
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Participating Start Date 4/1/2004, Termination Date 1/1/2023, Reinstatement 4/1/2023
02/22/2023
June 2025
June 2025
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