NPIMap

Organization Active NPI

Kauai Veterans Memorial Hospital

Doing business as The Specialty Clinic at Kalaheo

  • Multi-Specialty Clinic/Center
  • Kalaheo, HI
National Provider Identifier
1184245409
Registry record updated Apr 27, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
KAUAI VETERANS MEMORIAL HOSPITAL
Doing business as
The Specialty Clinic at Kalaheo
Practice address
2469 Puu Rd Ste C
Kalaheo, HI 96741-8509
Phone
(808) 652-0048
Fax
(808) 378-4558
NPI assigned
Apr 27, 2020
Last updated
Apr 27, 2020By the provider in NPPES
Organization subpart
Yes
Parent organization
KAUAI VETERANS MEMORIAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Apr 27, 2020

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

Authorized official

Name
Christine Marie Asato
Title
Regional Cfo
Phone
(808) 338-9407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary

Addresses

Primary practice location

2469 Puu Rd Ste C
Kalaheo, HI 96741-8509

Mailing address

PO Box 337
Waimea, HI 96796-0337
Phone (808) 338-9431

Other names 1

  • The Specialty Clinic at Kalaheo Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Kauai Veterans Mem Hosp3 organizations share this tax ID, including this one
Part of
Kauai Veterans Mem Hosp

Other organizations with this tax ID 2

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": "1587945600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1587945600000",
    "number": "1184245409",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "967960337",
            "telephone_number": "808-338-9431",
            "fax_number": "808-338-9420"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2469 PUU RD STE C",
            "city": "KALAHEO",
            "state": "HI",
            "postal_code": "967418509",
            "telephone_number": "808-652-0048",
            "fax_number": "808-378-4558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI VETERANS MEMORIAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "KAUAI VETERANS MEMORIAL HOSPITAL",
        "enumeration_date": "2020-04-27",
        "last_updated": "2020-04-27",
        "certification_date": "2020-04-27",
        "status": "A",
        "authorized_official_last_name": "ASATO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "REGIONAL CFO",
        "authorized_official_telephone_number": "808-338-9407"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "The Specialty Clinic at Kalaheo",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kalaheo, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2020; 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.