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FP968194 KOKUA KALIHI VALLEY (Terminated)
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Main Details
Name
KOKUA KALIHI VALLEY
Subdivision Name
Type
Family Planning (Title X only)
340B ID
FP968194
Grant Number
FPHPA090326
Additional Details
Current Program Status
Terminated
Registration Date
1/1/1998
Participating Start Date
1/1/1998
Participating Approval Date
1/1/1998
Last Recertification Date
5/13/2022
Termination Date
Termination Reason
7/1/2023
Business decision by the Covered Entity
Contacts
Authorizing Official
Kokua Kalihi Valley Comprehensive Family Services
Laura DeVilbiss, Medical Director
(808) 791-9418
Primary Contact
Kokua Kalihi Valley Comprehensive Family Services
Dolly Tatofi, Maternal Child Health Director
(808) 791-9400
Addresses
Street Address
2239 NORTH SCHOOL ST
HONOLULU, HI 96819
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
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2/7/07 - ADDED MEDICAID #
02/25/2010
April 2025
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