NPIMap

Organization Active NPI

Honolulu Vamc

  • VA Clinic/Center
  • Kaunakakai, HI
National Provider Identifier
1194116160
Registry record updated Jun 8, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
VA Clinic/CenterTaxonomy code 261QV0200X
Legal business name
HONOLULU VAMC
Practice address
604 Mauna Loa Hwy
Kaunakakai, HI 96748-9998
Phone
(702) 341-3020
NPI assigned
Feb 12, 2015
Last updated
Jun 8, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 8, 2022

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

Authorized official

Name
Erin Potter
Title
Npi Team Member
Phone
(202) 382-2579

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
VA Clinic/Center 261QV0200X Primary

Addresses

Primary practice location

604 Mauna Loa Hwy
Kaunakakai, HI 96748-9998

Mailing address

PO Box 94406
Cleveland, OH 44101-4406
Phone (702) 341-3020

Other names 1

  • KAUNAKAKAI VA CLINIC Other name

National Provider Directory

National Provider Directory
Tax ID family
Honolulu Vamc16 organizations share this tax ID, including this one

Other organizations with this tax ID 15

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

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1423699200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1654646400000",
    "number": "1194116160",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 94406",
            "city": "CLEVELAND",
            "state": "OH",
            "postal_code": "441014406",
            "telephone_number": "702-341-3020"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "604 MAUNA LOA HWY",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967489998",
            "telephone_number": "702-341-3020"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HONOLULU VAMC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-02-12",
        "last_updated": "2022-06-08",
        "certification_date": "2022-06-01",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "ERIN",
        "authorized_official_title_or_position": "NPI TEAM MEMBER",
        "authorized_official_telephone_number": "202-382-2579"
    },
    "taxonomies": [
        {
            "code": "261QV0200X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, VA",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KAUNAKAKAI VA CLINIC",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "KAUNAKAKAI VA CLINIC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kaunakakai, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 8, 2022; 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.