NPIMap

Organization Active NPI

Maui Health System a Kaiser Foundation Hospitals LLC

Doing business as Maui Memorial Medical Center

  • General Acute Care Hospital
  • Wailuku, HI
National Provider Identifier
1013379460
Registry record updated Jul 14, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
Doing business as
Maui Memorial Medical Center
Practice address
221 Mahalani St
Wailuku, HI 96793-2581
Phone
(808) 244-9056
NPI assigned
Mar 24, 2016
Last updated
Jul 14, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2025

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

Authorized official

Name
Debra L Cartwright
Title
Cfo
Phone
(808) 633-1543

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X Primary

Addresses

Primary practice location

221 Mahalani St
Wailuku, HI 96793-2581

Mailing address

221 Mahalani St
Wailuku, HI 96793-2581

Other identifiers 1

IdentifierTypeStateIssuer
005796MedicaidHI

Other names 1

  • Maui Memorial Medical Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20170411000946 HI Part A Provider - Hospital 9830476159 Practice locations: Wailuku, HI
O20170725002612 HI Part B Supplier - Clinic/Group Practice 9830476159 Receives reassigned benefits from 139 practitioners
7 other NPIs on this enrollment
Practice locations: Kula, HI; Wailuku, HI; Lanai City, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1013379460. Details of each certification follow.

Hospital certification: CCN 120002

Legal name
MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC
Doing business as
MAUI MEMORIAL MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 10, 1986
Beds
213
Ownership / control type
State
Most recent change of ownership
Jul 1, 2017 (1 total)
Organization structure
LLCNon-profit
Incorporated
Dec 24, 2015 in HI
Enrollment address
221 Mahalani St
Wailuku, HI 96819-1469
Main/Primary Hospital Location
Hospital subgroups
Acute care

Other NPIs with the same Medicare PAC ID 4

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 7

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

Care Compare: Hospital

Medicare Care Compare
Listed as
Maui Memorial Medical CenterCCN 120002 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
No

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 11

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Richard Clay Sutherland Individual Corporate DirectorDirector, Maui Health System, a Jul 1, 2017 100%
Anthony Paul Takitani Individual Corporate DirectorDirector, Maui Health System, a Jul 1, 2017 100%
John M Yamamoto Individual Corporate DirectorDirector Jul 1, 2017 100%
Michael a Rembis Individual Corporate OfficerCeo & Hospital Administrator - MHS Sep 1, 2017
W-2 Managing EmployeeCeo & Hospital Administrator - MHS Sep 1, 2017
Kathryn Lancaster Individual Corporate DirectorDirector, Maui Health System a Kais Jul 1, 2017 100%
Mary M Hew Individual Corporate DirectorDirector Jul 1, 2017 100%
Tamar Goodfellow Individual Corporate DirectorDirector Mar 31, 2021 100%
Kaiser Foundation Hospitals Organization, Oakland, CA Corporation, Non-profit 5% Or Greater Direct Ownership Interest Jul 1, 2017 100%
Wade Ebersole Individual Corporate OfficerVP, Coo - MHS Feb 23, 2023
W-2 Managing EmployeeVP, Coo - MHS Feb 23, 2023
Operational/Managerial ControlVP, Coo - MHS Feb 23, 2023
Stephen D Miller Individual Corporate DirectorDirector Jul 1, 2017 100%
Bryan C Smith Individual Corporate DirectorDirector, Maui Health System, a Jul 1, 2017 100%

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 3

Facilities whose Medicare enrollment lists this provider’s PECOS associate ID as an owner or managing party.

FacilityTypeRoleSince
Lanai Community HospitalLanai City, HI, CCN 121305 Hospital Operational/Managerial Control (100%) Jul 1, 2017
Kula HospitalKula, HI, CCN 121308 Hospital Operational/Managerial Control (100%) Jul 1, 2017
Kula HospitalKula, HI, CCN 12Z308 Hospital Operational/Managerial Control (100%) Jul 1, 2017

Owned or controlled facilities with NPI records 2

Facilities whose Medicare enrollment lists this provider as an owner, officer, director or managing party.

Facilities with the same owner 78

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 78

Practitioners & affiliated clinicians

Practitioners 206

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 206

Affiliated clinicians 234

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 234

NPI Registry JSON

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

{
    "created_epoch": "1458777600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1752451200000",
    "number": "1013379460",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932581"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932581",
            "telephone_number": "808-244-9056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI HEALTH SYSTEM A KAISER FOUNDATION HOSPITALS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-24",
        "last_updated": "2025-07-14",
        "certification_date": "2025-07-14",
        "status": "A",
        "authorized_official_last_name": "CARTWRIGHT",
        "authorized_official_first_name": "DEBRA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-633-1543"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005796",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maui Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Maui Memorial Medical Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

Verify at the official NPI Registry.