NPIMap

Organization Active NPI

Kula Hospital

  • Critical Access Hospital
  • Kula, HI
National Provider Identifier
1003905092
Registry record updated Feb 14, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
OHCA25-H Issued in HI
Legal business name
KULA HOSPITAL
Practice address
100 Keokea PL
Kula, HI 96790-7450
Phone
(808) 878-1221
Fax
(808) 876-4438
NPI assigned
Oct 11, 2006
Last updated
Feb 14, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 14, 2014

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Nerissa Gayle Garrity, MBA
Title
Business Manager
Phone
(808) 876-4341

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X OHCA 25-H HI
Critical Access Hospital 282NC0060X OHCA25-H HI Primary

Addresses

Primary practice location

100 Keokea PL
Kula, HI 96790-7450

Mailing address

100 Keokea PL
Kula, HI 96790-7450
Phone (808) 878-1221

Other identifiers 1

IdentifierTypeStateIssuer
578271MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Maui Health System a Kaiser9 organizations share this tax ID, including this one

Other organizations with this tax ID 8

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1160524800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1392336000000",
    "number": "1003905092",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-878-1221",
            "fax_number": "808-876-4438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 KEOKEA PL",
            "city": "KULA",
            "state": "HI",
            "postal_code": "967907450",
            "telephone_number": "808-878-1221",
            "fax_number": "808-876-4438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KULA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-11",
        "last_updated": "2014-02-14",
        "status": "A",
        "authorized_official_last_name": "GARRITY",
        "authorized_official_first_name": "NERISSA",
        "authorized_official_middle_name": "GAYLE",
        "authorized_official_title_or_position": "BUSINESS MANAGER",
        "authorized_official_telephone_number": "808-876-4341",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "HI",
            "license": "OHCA 25-H",
            "primary": false
        },
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "HI",
            "license": "OHCA25-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "578271",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kula, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 14, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.