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CH0925370 Ko'olauloa Health Center (Active)
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Main Details
Name
Ko'olauloa Health Center
Subdivision Name
Kahuku Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-007708
340B ID
CH0925370
Grant Number
H80CS06641
Additional Details
Current Program Status
Active
Registration Date
2/24/2006
Participating Start Date
4/1/2006
Participating Approval Date
2/24/2006
Last Recertification Date
2/12/2025
Contacts
Authorizing Official
Ko`olauloa Health Center
TERRENCE ARATANI, CHIEF EXECUTIVE OFFICER
(808) 792-3840
Primary Contact
Ko'olauloa Health Center
Stacy Tolentino, Director of Pharmacy
(808) 293-9231 Ext: 2022
Addresses
Street Address
56-119 Pualalea St
Kahuku, HI 96731-2052
Billing Address
Ko'olauloa Health Center
P.O. Box 395
Kahuku, HI 96731
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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2/11/11 UPDATED PHY ADD (WAS 54-316 SUITE #6 KAMEHAMEHA HIGHWAY, HAUULA, HI 96717); 12/28/10 UPDATED PHYS ADD (WAS 56-119 PUALALEA ST, KAHUKU HI 96731); 6/24/10 UPDATED ADDR (WAS 56-565 KAMEHAMEHA HWY, KAHUKU, HI 96731)
02/11/2011
June 2025
June 2025
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