NPIMap

Organization Active NPI

Tripler Army Medical Center

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Kapolei, HI
National Provider Identifier
1114230109
Registry record updated Dec 18, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
TRIPLER ARMY MEDICAL CENTER
Practice address
91-1010 Shangrila St
Suite 100
Kapolei, HI 96707-2161
Phone
(808) 433-3418
NPI assigned
Jul 19, 2010
Organization subpart
Yes
Parent organization
TRIPLER ARMY MEDICAL CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 18, 2012

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

Authorized official

Name
Hugh Keel
Title
PRMC Ubo
Phone
(808) 433-1016

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Military/U.S. Coast Guard Outpatient Clinic/Center 261QM1100X Primary

Addresses

Primary practice location

91-1010 Shangrila St
Suite 100
Kapolei, HI 96707-2161

Mailing address

1 Jarrett White Rd
Attn Pad MCHK-Pat-T - Uniform Business Office
Tripler Army Medical Center, HI 96859-5001
Phone (808) 433-6103

Other identifiers 1

IdentifierTypeStateIssuer
1831146281OtherPARENT BILLING NPI

Other names 1

  • Warrior Ohana Medical Home-Shafter Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Tripler Army Medical Center12 organizations share this tax ID, including this one
Part of
Tripler Army Medical Center

Other organizations with this tax ID 11

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

Locations

91-1010 Shangrila St
Ste 100
Kapolei, HI 96707
Phone (808) 433-3418

1 Jarrett White Rd
Ofc
Tripler Army Medical Center, HI 96859
Phone (808) 433-1021

NPI Registry JSON

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

{
    "created_epoch": "1279497600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1355788800000",
    "number": "1114230109",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 JARRETT WHITE RD",
            "address_2": "ATTN PAD MCHK-PAT-T - UNIFORM BUSINESS OFFICE",
            "city": "TRIPLER ARMY MEDICAL CENTER",
            "state": "HI",
            "postal_code": "968595001",
            "telephone_number": "808-433-6103"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "91-1010 SHANGRILA ST",
            "address_2": "SUITE 100",
            "city": "KAPOLEI",
            "state": "HI",
            "postal_code": "967072161",
            "telephone_number": "808-433-3418"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRIPLER ARMY MEDICAL CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TRIPLER ARMY MEDICAL CENTER",
        "enumeration_date": "2010-07-19",
        "last_updated": "2012-12-18",
        "status": "A",
        "authorized_official_last_name": "KEEL",
        "authorized_official_first_name": "HUGH",
        "authorized_official_title_or_position": "PRMC UBO",
        "authorized_official_telephone_number": "808-433-1016"
    },
    "taxonomies": [
        {
            "code": "261QM1100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Military/U.S. Coast Guard Outpatient",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PARENT BILLING NPI",
            "identifier": "1831146281",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warrior Ohana Medical Home-Shafter",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kapolei, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2012; 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.