NPIMap

Organization Active NPI

NHC Hawaii

  • Military/U.S. Coast Guard Outpatient Clinic/Center
  • Pearl Harbor, HI
National Provider Identifier
1205899879
Registry record updated Jun 13, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Military/U.S. Coast Guard Outpatient Clinic/CenterTaxonomy code 261QM1100X
Legal business name
NHC HAWAII
Practice address
480 Central Ave
Pearl Harbor, HI 96860-4908
Phone
(808) 474-4242
Fax
(808) 471-5704
NPI assigned
Apr 6, 2006
Last updated
Jun 13, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
NHC HAWAIIAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jun 13, 2025

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

Authorized official

Name
Amanda Barrett
Title
Ubo Manager
Phone
(808) 474-4242

Specialties & licenses 1

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

Addresses

Primary practice location

480 Central Ave
Pearl Harbor, HI 96860-4908

Mailing address

480 Central Ave
Pearl Harbor, HI 96860-4908
Phone (808) 474-4242

Other identifiers 2

IdentifierTypeStateIssuer
12-04089OtherHINABP
81-11180OtherHINCPDP

National Provider Directory

National Provider Directory
Tax ID family
Branch Medical Clinic Kaneohe7 organizations share this tax ID, including this one
Part of
Branch Medical Clinic Kaneohe

Other organizations with this tax ID 6

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": "1144281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1749772800000",
    "number": "1205899879",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-474-4242",
            "fax_number": "808-471-5704"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "480 CENTRAL AVE",
            "city": "PEARL HARBOR",
            "state": "HI",
            "postal_code": "968604908",
            "telephone_number": "808-474-4242",
            "fax_number": "808-471-5704"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NHC HAWAII",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NHC HAWAII",
        "enumeration_date": "2006-04-06",
        "last_updated": "2025-06-13",
        "certification_date": "2025-06-13",
        "status": "A",
        "authorized_official_last_name": "BARRETT",
        "authorized_official_first_name": "AMANDA",
        "authorized_official_title_or_position": "UBO MANAGER",
        "authorized_official_telephone_number": "808-474-4242"
    },
    "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": "NABP",
            "identifier": "12-04089",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NCPDP",
            "identifier": "81-11180",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pearl Harbor, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 13, 2025; 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.