NPIMap

Organization Active NPI

Wilcox Memorial Hospital

  • Rural Acute Care Hospital
  • Lihue, HI
National Provider Identifier
1225113442
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Acute Care HospitalTaxonomy code 282NR1301X
License
23-H Issued in HI
Legal business name
WILCOX MEMORIAL HOSPITAL
Practice address
3-3420 Kuhio Hwy
Lihue, HI 96766-1099
Phone
(808) 245-1100
Fax
(808) 245-1223
NPI assigned
Oct 26, 2006
Last updated
Jul 21, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Ms. Kathy Clark, RN, BSN, MBA
Title
President and Chief Exec. Officer
Phone
(808) 245-1122

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Medicare Defined Swing Bed Hospital Unit 275N00000X HI
Rural Acute Care Hospital 282NR1301X 23-H HI Primary

Addresses

Primary practice location

3-3420 Kuhio Hwy
Lihue, HI 96766-1099

Mailing address

3-3420 Kuhio Hwy
Lihue, HI 96766-1099
Phone (808) 245-1100

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20050301001017 HI Part A Provider - Hospital 4880583822 Practice locations: Lihue, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1225113442. Details of each certification follow.

Hospital certification: CCN 120014

Legal name
WILCOX MEMORIAL HOSPITAL
Doing business as
WILCOX MEDICAL CENTER
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Oct 27, 2005
Beds
71
Ownership / control type
Federal
Organization structure
CorporationNon-profit
Incorporated
Dec 23, 2001 in HI
Enrollment address
3-3420 Kuhio Highway
Lihue, HI 96766-1099
Other Hospital Practice Location
Hospital subgroups
General, Acute care

Care Compare: Hospital

Medicare Care Compare
Listed as
Wilcox Memorial HospitalCCN 120014 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - Federal
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory

Interoperability endpoints

  • Direct secure messaging: danita.narciso@hawaiihie.medicity.net

Ownership & related parties

All disclosed owners & managing parties 40

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

NameRoleSinceShare
Carrie Tsutsui Individual Corporate OfficerVice President & System Controller Jun 1, 2020
Katherine Richardson Individual Corporate DirectorBoard Member Jun 22, 2017
Dean Tateyama Individual Corporate OfficerVice President Reimbursement May 12, 2022
Dawn Dunbar Individual Corporate OfficerSr Vice President Philanthropy Mar 8, 2018
Jennie Chahanovich Individual Corporate OfficerPresident & Ceo Jul 1, 2015
W-2 Managing EmployeePresident & Ceo Jul 1, 2015
Charles Ching Individual Corporate OfficerExec VP General Counsel & Secretary Sep 1, 2002
Trinette Kaui Individual Corporate DirectorBoard Member Mar 27, 2026
James C Lin Individual Corporate OfficerVP Information Technology Apr 10, 2020
Tyler a Chihara Individual Corporate DirectorBoard Member Aug 27, 2020
France R Graves Individual Corporate OfficerPrivacy Officer Feb 7, 2021
Jessica Lewis Individual Corporate OfficerAssistant Corporate Secretary Jan 24, 2008
Michael Murakoshi Individual Corporate DirectorBoard Member Dec 1, 2025
Keoki Clemente Individual Corporate OfficerCompliance Officer Feb 15, 2025
Gloria Brooks Individual Corporate OfficerChief Operating Officer Mar 14, 2022
Raymond Vara Individual Corporate OfficerCeo Jan 26, 2012
Peter Lewis Individual Corporate OfficerVP & Chief Information Security Ofc Nov 11, 2021
Robyn Kalahiki Individual Corporate OfficerVP & Chief Nurse Executive Dec 26, 2021
Art Gladstone Individual Corporate OfficerExec VP & Chief Strategy Officer Jul 8, 2004
Hawaii Pacific Health Organization, Honolulu, HI Created for acquisition, Non-profit 5% Or Greater Direct Ownership Interest Dec 23, 2001 100%
David Stumbaugh Individual Corporate OfficerVP Supply Chain Management Mar 8, 2018
Lorrie-Ann Luke Individual Corporate OfficerVice President Contracting Mar 10, 2016
Troy Branstetter Individual Corporate OfficerVice President General Services Aug 13, 2021
David Okabe Individual Corporate OfficerEvp/Cfo Dec 23, 2001
Shilpa J Patel Individual Corporate OfficerSr VP & Chief Quality Officer Nov 11, 2021
Douglas a Duvauchelle Individual Corporate DirectorBoard Member Aug 27, 2020
Paul Toner Individual Corporate DirectorBoard Member Dec 19, 2019
Jan Boivin Individual Corporate OfficerSr VP HR & Org Effectiveness Aug 1, 2025
Margaret Sanchez Individual Corporate DirectorBoard Member Aug 28, 2025
Terence Young Individual Corporate OfficerExec VP of Operations Jul 1, 2025
John McNamara Individual Corporate OfficerSr VP & Chief Marketing Officer Nov 11, 2021
Allen L Hixon Individual Corporate DirectorBoard Member Feb 1, 2025
William Burke Individual Corporate Officer Apr 10, 2020
Douglas Kwock Individual Corporate OfficerVice President Medical Affairs Jan 14, 2021
Robert D Wotring Individual Corporate DirectorBoard Member Aug 8, 2023
David Chow Individual Corporate OfficerVP Finance Jul 1, 2025
Michael Robinson Individual Corporate OfficerVP Govt Rel. & Community Affairs Mar 10, 2016
Warren Chaiko Individual Corporate OfficerSr VP Design & Construction Aug 4, 2003
Elizabeth Ubay Individual Corporate DirectorBoard Member Oct 28, 2021
Leslie B Chun Individual Corporate OfficerExecutive Vice President Apr 10, 2020
Nathan H Tokuda Individual Corporate DirectorBoard Member Feb 24, 2022

Owners & managing parties with NPI records 6

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

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Garden Isle Healthcare and Rehabilitation CenterLihue, HI, CCN 125004 Skilled nursing facility Adp of the SNF Dec 1, 2019

Owned or controlled facilities with NPI records 1

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

Facilities with the same owner 3

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

Practitioners & affiliated clinicians

Practitioners 28

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 28

Affiliated clinicians 277

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

View all 277

NPI Registry JSON

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

{
    "created_epoch": "1161820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1225113442",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661099",
            "telephone_number": "808-245-1100",
            "fax_number": "808-245-1223"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3-3420 KUHIO HWY",
            "city": "LIHUE",
            "state": "HI",
            "postal_code": "967661099",
            "telephone_number": "808-245-1100",
            "fax_number": "808-245-1223"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WILCOX MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-26",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "CLARK",
        "authorized_official_first_name": "KATHY",
        "authorized_official_title_or_position": "PRESIDENT AND CHIEF EXEC. OFFICER",
        "authorized_official_telephone_number": "808-245-1122",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN, BSN, MBA"
    },
    "taxonomies": [
        {
            "code": "275N00000X",
            "taxonomy_group": "",
            "desc": "Medicare Defined Swing Bed Unit",
            "state": "HI",
            "license": null,
            "primary": false
        },
        {
            "code": "282NR1301X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Rural",
            "state": "HI",
            "license": "23-H",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lihue, HI

Sources for this page

Verify at the official NPI Registry.