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CH0912120 Molokai Ohana Health Care, Inc (Active)
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Main Details
Name
Molokai Ohana Health Care, Inc
Subdivision Name
Molokai Community Health Center
Type
HRSA-Funded Health Center
Site ID
BPS-H80-008784
340B ID
CH0912120
Grant Number
H80CS02449
Additional Details
Current Program Status
Active
Registration Date
1/1/2005
Participating Start Date
1/1/2005
Participating Approval Date
11/10/2004
Last Recertification Date
2/10/2025
Contacts
Authorizing Official
Molokai Community Health Center
Milton Cortez, CEO
(808) 747-6372
Primary Contact
Molokai Ohana Health Care Inc
Shawnna Wataoka, Director of Operations
(808) 660-2617
Addresses
Street Address
30 Oki Place
Kaunakakai, HI 96748
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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Changes were made manually by OPA
03/01/2021
NEW SITE 01/01/2005; 6/5/06 - CORRECTED ENTITY NAME (WAS MOLAKAI)
05/21/2010
April 2025
April 2025
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