NPIMap

Organization Active NPI

State of Hawaii Department of Health

  • General Acute Care Hospital
  • Wailuku, HI
National Provider Identifier
1396922035
Registry record updated Jun 18, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
STATE OF HAWAII DEPARTMENT OF HEALTH
Practice address
121 Mahalani St
Wailuku, HI 96793-2528
Phone
(808) 984-2154
NPI assigned
Jan 24, 2008
Last updated
Jun 18, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 18, 2014

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

Authorized official

Name
Raquel Nakahara
Title
Financial Resource Specialist
Phone
(808) 590-7320

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

121 Mahalani St
Wailuku, HI 96793-2528

Mailing address

1250 Punchbowl St RM 256
Honolulu, HI 96813-2416
Phone (808) 590-7320

Other identifiers 1

IdentifierTypeStateIssuer
53937204MedicaidHI

Other names 1

  • Maui Memorial Hospital-Professional Service Other name

National Provider Directory

National Provider Directory
Tax ID family
Central Oahu Comm Menta103 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

NPI Registry JSON

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

{
    "created_epoch": "1201132800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1403049600000",
    "number": "1396922035",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1250 PUNCHBOWL ST RM 256",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "968132416",
            "telephone_number": "808-590-7320",
            "fax_number": "808-590-7320"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "121 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932528",
            "telephone_number": "808-984-2154"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STATE OF HAWAII DEPARTMENT OF HEALTH",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-24",
        "last_updated": "2014-06-18",
        "status": "A",
        "authorized_official_last_name": "NAKAHARA",
        "authorized_official_first_name": "RAQUEL",
        "authorized_official_title_or_position": "FINANCIAL RESOURCE SPECIALIST",
        "authorized_official_telephone_number": "808-590-7320"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "53937204",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Maui Memorial Hospital-Professional Service",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Wailuku, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 18, 2014; 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.