NPIMap

Organization Active NPI

Molokai General Hospital

  • Critical Access Hospital
  • Kaunakakai, HI
National Provider Identifier
1366486979
Registry record updated Mar 10, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Critical Access HospitalTaxonomy code 282NC0060X
License
34-N/18-H Issued in HI
Legal business name
MOLOKAI GENERAL HOSPITAL
Practice address
280 Homeolu Place
Kaunakakai, HI 96748
Phone
(808) 553-5331
Fax
(808) 553-3133
NPI assigned
Jun 15, 2006
Organization subpart
No

Authorized official

NPPES NPI Registry
Name
Janice Kalanihuia
Title
President
Phone
(808) 553-3123

Other NPIs on the same Medicare enrollment 1

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

Other NPIs with the same Medicare PAC ID 1

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

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

Facilities with the same owner 4

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

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

Affiliated clinicians 77

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

View all 77

Care Compare: Hospital

Medicare Care Compare
Listed as
Molokai General HospitalCCN 121303
Type
Critical Access Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA4 enrollments

Enrollment records 4

Enrollment IDStateProvider typePAC IDDetails
O20040317001297 HI Part B Supplier - Clinic/Group Practice 2264322874 Receives reassigned benefits from 19 practitioners
Practice locations: Kaunakakai, HI
O20040601001561 HI Part a Provider - Rural Health Clinic 2264322874 1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kaunakakai, HI
O20051121000462 HI Part a Provider - Critical Access Hospital 2264322874 Receives reassigned benefits from 16 practitioners
Practice locations: Kaunakakai, HI
O20080107000482 CA Part a Provider - Critical Access Hospital 2264322874 Practice locations: Kaunakakai, CA

Rural health clinic certification: CCN 123977

Medicare enrollment files
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

Hospital certification: CCN 121303

Medicare enrollment files
Legal name
MOLOKAI GENERAL HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Critical access hospital
Participating since
Nov 1, 2001
Last certification
Dec 14, 2012
Beds
13
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Enrollment address
280 Home Olu PL
Kaunakakai, HI 96748-9998

Hospital certification: CCN 12Z303

Medicare enrollment files
Legal name
MOLOKAI GENERAL HOSPITAL
Organization structure
CorporationNon-profit
Incorporated
Oct 14, 1986 in HI
Enrollment address
280 Home Olu PL
Kaunakakai, CA 96748
Hospital Swing-Bed Unit

All disclosed owners & managing parties 13

Medicare enrollment files

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
Corporate OfficerSecretary Jul 16, 2019
Jill Hoggard Green Individual Corporate OfficerChair Sep 30, 2019
Corporate DirectorTrustee Sep 30, 2019
Corporate DirectorChair Sep 30, 2019
Jenai S Wall Individual Corporate Director Jan 1, 2018
Janice Kalanihuia Individual Corporate Director Nov 21, 2005
W-2 Managing Employee Jan 1, 2002
Operational/Managerial Control Jan 1, 2002
Corporate Director Dec 14, 2007
W-2 Managing Employee Dec 14, 2007
Operational/Managerial Control Jan 2, 2002
Corporate Officer Jul 22, 2004
Corporate Director Jul 22, 2004
Jason C Chang Individual Corporate Director Jan 1, 2021
Corporate DirectorBoard Chair Jan 1, 2021
Punahele Alcon Individual Corporate Officer Feb 21, 2006
Lance Dunbar Individual Corporate Director Jan 1, 1996
Corporate Director Jan 1, 2018
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
Corporate Director Jan 1, 2021
The Queen'S Health Systems Organization, Honolulu, HI Corporation, Non-profit Operational/Managerial Control Jul 1, 1987
Operational/Managerial Control Dec 14, 2007
Darlena Chadwick Individual Corporate Director Jan 1, 2025
Patrick D Ching Individual Corporate Officer Jan 1, 2025

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Critical Access Hospital 282NC0060X 34-N/18-H HI Primary

Addresses

NPPES NPI Registry

Primary practice location

280 Homeolu Place
Kaunakakai, HI 96748

Mailing address

PO Box 408
Kaunakakai, HI 96748-0408

Other identifiers 1

NPPES NPI Registry
IdentifierTypeStateIssuer
00245201MedicaidHI

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 10, 2008.

{
    "created_epoch": "1150329600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1205107200000",
    "number": "1366486979",
    "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"
        },
        {
            "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": "2006-06-15",
        "last_updated": "2008-03-10",
        "status": "A",
        "authorized_official_last_name": "KALANIHUIA",
        "authorized_official_first_name": "JANICE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "808-553-3123"
    },
    "taxonomies": [
        {
            "code": "282NC0060X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital, Critical Access",
            "state": "HI",
            "license": "34-N/18-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00245201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kaunakakai, HI

Sources for this page

Verify at the official NPI Registry.