NPIMap

Organization Active NPI

Molokai General Hospital

  • Rural Health Clinic/Center
  • Kaunakakai, HI
National Provider Identifier
1235515396
Registry record updated Mar 8, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
MOLOKAI GENERAL HOSPITAL
Practice address
280 Homeolu Place
Kaunakakai, HI 96748
Phone
(808) 553-5331
Fax
(808) 553-3133
NPI assigned
Jul 30, 2015
Last updated
Mar 8, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 8, 2016

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

Authorized official

Name
Janice Kalanihuia
Title
President
Phone
(808) 553-5331

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X HI Primary

Addresses

Primary practice location

280 Homeolu Place
Kaunakakai, HI 96748

Mailing address

PO Box 408
Kaunakakai, HI 96748-0408
Phone (808) 553-5331

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040601001561 HI Part A Provider - Rural Health Clinic 2264322874 1 other NPI on this enrollment
Practice locations: Kaunakakai, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1235515396. Details of each certification follow.

Rural health clinic certification: CCN 123977

Legal name
MOLOKAI GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
Jul 24, 2004
Last certification
Sep 26, 2019
Ownership / control type
2B
Organization structure
CorporationNon-profit
Incorporated
Oct 14, 1986 in HI
Enrollment address
280 Home Olu PL
Kaunakakai, HI 96748-9998
Related CCNs
121303

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Molka I Genearl Hospita2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

Ownership & related parties

All disclosed owners & managing parties 11

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

NameRoleSinceShare
Marina Lafaele Individual Corporate OfficerSecretary Sep 30, 2019
Jill Hoggard Green Individual Corporate OfficerChair Sep 30, 2019
Corporate DirectorChair Sep 30, 2019
Jenai S Wall Individual Corporate Director Jan 1, 2018
Janice Kalanihuia Individual Corporate Officer Jul 22, 2004
Corporate Director Jul 22, 2004
W-2 Managing Employee Jan 1, 2002
Operational/Managerial Control Jan 1, 2002
Jason C Chang Individual Corporate Director Jan 1, 2021
Punahele Alcon Individual Corporate Officer Feb 21, 2006
Lance Dunbar Individual Corporate Director Jul 27, 2004
Clinton Yee Individual Corporate Officer Jan 27, 2015
Donna Paoa Individual Corporate Director Jan 1, 2018
James Aaron Boswell Individual Corporate Director Jan 28, 2021
The Queen's Health Systems Organization, Honolulu, HI Corporation, Non-profit Operational/Managerial Control Jul 1, 1987

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 21

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 21

NPI Registry JSON

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

{
    "created_epoch": "1438214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1457395200000",
    "number": "1235515396",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 408",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "967480408",
            "telephone_number": "808-553-5331",
            "fax_number": "808-553-3133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "280 HOMEOLU PLACE",
            "city": "KAUNAKAKAI",
            "state": "HI",
            "postal_code": "96748",
            "telephone_number": "808-553-5331",
            "fax_number": "808-553-3133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MOLOKAI GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-07-30",
        "last_updated": "2016-03-08",
        "status": "A",
        "authorized_official_last_name": "KALANIHUIA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-553-5331"
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "HI",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaunakakai, HI

Sources for this page

Verify at the official NPI Registry.