KIPUKA O KE OLA
NPI 1215359989
Clinic/Center - Rural Health in Kamuela, HI

NPI Status: Active since January 14, 2014

Contact Information

64-1035 MAMALAHO HWY STE F
KAMUELA, HI
ZIP 96743
Phone: (808) 885-5900
Fax: (808) 885-6900

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  • Organization
  • Clinic/Center
  • Rural Health
  • Accepts Insurance
  • CLIA Number: 12D2125620
  • CLIA Cert. Type: Rural Health Clinic
  • CLIA Exp. Date: 02-09-2027

About KIPUKA O KE OLA

This page provides the complete NPI Profile along with additional information for Kipuka O Ke Ola, a primary care provider established in Kamuela, Hawaii operating as a Clinic/center, focusing in rural health . The healthcare provider is registered in the NPI registry with number 1215359989 assigned on January 2014. The practitioner's primary taxonomy code is 261QR1300X. The provider is registered as an organization and their NPI record was last updated 4 years ago. Kipuka O Ke Ola operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Kipuka O Ke Ola. The authorized official of this NPI record is Claren Kuulei Kealoha-beaudet Psyd (Chief Executive Officer)

NPI
1215359989
Provider Legal Name
FIVE MOUNTAINS HAWAII, INC
Other Organization Name
KIPUKA O KE OLA
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
64-1035 MAMALAHO HWY STE F KAMUELA, HI 96743
Location Phone
(808) 885-5900
Location Fax
(808) 885-6900
Mailing Address
PO BOX 818 KAMUELA, HI 96743
Mailing Phone
(808) 885-5900
Mailing Fax
(808) 885-6900
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
01-14-2014
Last Update Date
01-13-2022
Code Navigator

A primary care provider (PCP) like Kipuka O Ke Ola sees people with common medical problems. The primary care provider might be a doctor, physician assistant, nurse practitioner or clinic that are usually involved in your long-term care. A PCP might provide preventive care, treat common medical conditions, identify urgent medical problems and refer you to specialists when necessary. Primary care is usually provided in an outpatient facility but if you are admitted to a hospital your PCP may assist in your care. The most common medical conditions seen by primary care providers are: hypertension, upper respiratory tract infections, depression or anxiety, back pain, arthritis, dermatitis, diabetes, urinary tract infections, etc .

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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Rural Health

Taxonomy Code
261QR1300X
Type
Ambulatory Health Care Facilities

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1103TC0700XBehavioral Health & Social Service Providers

Psychologist
Clinical

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Insurance Plans Accepted

According to publicly available information the provider might be accepting the following health plans from these health insurance companies:

  • HMSA Bronze PPO I - PPO
  • HMSA Bronze PPO II HSA - PPO
  • HMSA Catastrophic Plan - PPO
  • HMSA Gold PPO I - PPO
  • HMSA Gold PPO II - PPO
  • HMSA Platinum PPO - PPO
  • HMSA Silver PPO - PPO

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

Specific plan information not avaialable, please contact the provider to verify if your insurance plan is accepted.

*Please verify directly with this provider to make sure your insurance plan is currently accepted.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

CLAREN KUULEI KEALOHA-BEAUDET PSYD

Authorized Official Title
CHIEF EXECUTIVE OFFICER
Authorized Official Phone
(808) 885-5900

Additional Identifiers

The NPI Enumerator encourages providers to submit additional identifiers with their NPI application although the submission of this information is optional. The additional identifier(s) section includes other numbers or codes currently or formerly used as an identifier for the provider by other public healthcare entities. The identifiers may include UPIN, NSC, OSCAR, DEA, Medicaid State or PIN identification numbers.

Identifier Type / Code Identifier State Identifier Issuer
813669MEDICAID (05)HI 

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
12D2125620
Facility Type
Rural Health Clinic
Certificate Effective Date
February 10, 2025
Certificate Expiration Date
February 09, 2027
Laboratory Director
DR. KENNETH M. RIFF
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Kipuka O Ke Ola to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for KIPUKA O KE OLA

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1215359989
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
22256518916
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 2 + 2 + 5 + 6 + 5 + 1 + 8 + 9 + 1 + 6 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1215359989 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215359989, enumerated in the NPI registry as an "organization" on January 14, 2014

The provider is located at 64-1035 Mamalaho Hwy Ste F Kamuela, Hi 96743 and the phone number is (808) 885-5900

This medical organization specializes in Clinic/Center with taxonomy code 261QR1300X with a focus in Rural Health

The provider might be accepting Accepts: HMSA, Medicare and Medicaid. Please consult your insurance carrier or call the provider to make sure your health plan is currently accepted.

The provider's CLIA number is 12D2125620 for a "rural health clinic" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..

This NPI record was last updated on January 14, 2014. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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