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CH092537A Ko'olauloa Health Center (Active)
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Main Details
Name
Ko'olauloa Health Center
Subdivision Name
Hau'ula Clinic
Type
HRSA-Funded Health Center
Site ID
BPS-H80-006843
340B ID
CH092537A
Grant Number
H80CS06641
Additional Details
Current Program Status
Active
Registration Date
2/24/2011
Participating Start Date
4/1/2011
Participating Approval Date
2/28/2011
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
54-316 Kamehameha Hwy Suite 6 & 7
Hauula, HI 96717
Billing Address
Ko'olauloa Health Center, Inc.
PO BOX 395
Kahuku, HI 96731-0395
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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