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FQHCLA368 WAHIAWA CENTER FOR COMMUNITY HEALTH, THE (Active)
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Main Details
Name
WAHIAWA CENTER FOR COMMUNITY HEALTH, THE
Subdivision Name
The Wahiawa Center for Community Health
Type
Health Center Program Look-Alike
Site ID
BPS-LAL-021546
340B ID
FQHCLA368
Grant Number
LALCS31600
Additional Details
Current Program Status
Active
Registration Date
4/2/2018
Participating Start Date
7/1/2018
Participating Approval Date
4/27/2018
Last Recertification Date
2/13/2025
Contacts
Authorizing Official
wahiawa health
Beverly Harbin, CEO
(808) 591-0000
Primary Contact
Wahiawa Health
Kuupua Akana, COO/ Director of Pharmacy
(808) 622-1618 Ext: 500
Addresses
Street Address
302 CALIFORNIA AVE STE 106
Wahiawa, HI 96786-1841
Billing Address
Same as Street Address
Comments
Medicaid Billing
Shipping Addresses
Contract Pharmacies
Grantee Sites
Grantee Sites Contract Pharmacies
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June 2025
June 2025
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