Kohala Hospital

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

26N Issued in HI

Legal business name

KOHALA HOSPITAL

Practice address

54 383 Hospital Rd
Kapaau, HI 96755

Phone

(808) 889-6211

Fax

(808) 889-6978

NPI assigned

Dec 13, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Gino Amar

Title

Assistant Administrator

Phone

(808) 889-6211

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1165968000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1457412066",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 10",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "967550010",
            "telephone_number": "808-889-6211",
            "fax_number": "808-889-6978"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "54 383 HOSPITAL RD",
            "city": "KAPAAU",
            "state": "HI",
            "postal_code": "96755",
            "telephone_number": "808-889-6211",
            "fax_number": "808-889-6978"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KOHALA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-13",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "AMAR",
        "authorized_official_first_name": "GINO",
        "authorized_official_title_or_position": "ASSISTANT ADMINISTRATOR",
        "authorized_official_telephone_number": "808-889-6211",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "26N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00006148",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Dierdree Hooke
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• Eduardo Jones, PH.D.
• Kelby Kaaekuahiwi
• Kamehameha Pharmacy LLC (Kamehameha Pharmacy)
• Kohala Hospital
• Kohala Hospital
• Jochen Madeisky, D.D.S.
• Pamela C McKenna, M.D.
• Theodore Marshall Miller, OD

• Nursing Facility/Intermediate Care Facility in Kapa'au, HI
• Providers in Kapa'au, HI by specialty
• Nursing Facility/Intermediate Care Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.