NPIMap

Organization Active NPI

Kauai Veterans Memorial Hospital

  • Specialist
  • Waimea, HI
National Provider Identifier
1467620328
Registry record updated Jun 14, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
SpecialistTaxonomy code 174400000X
License
21-H Issued in HI
Legal business name
KAUAI VETERANS MEMORIAL HOSPITAL
Practice address
4643 Waimea Canyon Drive
Waimea, HI 96796
Phone
(808) 338-9431
Fax
(808) 338-9235
NPI assigned
Feb 13, 2008
Last updated
Jun 14, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 14, 2019

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

Authorized official

Name
Christine M Asato
Title
Regional Chief Financial Officer
Phone
(808) 338-9407

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Specialist 174400000X 21-H HI Primary

Addresses

Primary practice location

4643 Waimea Canyon Drive
Waimea, HI 96796

Mailing address

PO Box 337
Waimea, HI 96796
Phone (808) 742-0999

Other identifiers 1

IdentifierTypeStateIssuer
005730MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
O20040128000796 HI Part B Supplier - Clinic/Group Practice 7911805114 Receives reassigned benefits from 91 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Waimea, HI
O20241107003066 SC Part B Supplier - Clinic/Group Practice 7911805114 Receives reassigned benefits from 1 practitioner
Practice locations: Columbia, SC

Other NPIs with the same Medicare PAC ID 3

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

Locations

1310 Lady St
Columbia, SC 29201
Phone (808) 240-2723

Ownership & related parties

All facility ownership & control disclosures 1

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

FacilityTypeRoleSince
Kauai Veterans Memorial HospitalWaimea, HI, CCN 125021 Skilled nursing facility 5% Or Greater Direct Ownership Interest (80%) Jul 1, 1996

Owned or controlled facilities with NPI records 1

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

Practitioners & affiliated clinicians

Practitioners 93

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 93

NPI Registry JSON

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

{
    "created_epoch": "1202860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1560470400000",
    "number": "1467620328",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 337",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "808-742-0999",
            "fax_number": "808-742-0990"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4643 WAIMEA CANYON DRIVE",
            "city": "WAIMEA",
            "state": "HI",
            "postal_code": "96796",
            "telephone_number": "808-338-9431",
            "fax_number": "808-338-9235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAUAI VETERANS MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-13",
        "last_updated": "2019-06-14",
        "status": "A",
        "authorized_official_last_name": "ASATO",
        "authorized_official_first_name": "CHRISTINE",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "REGIONAL CHIEF FINANCIAL OFFICER",
        "authorized_official_telephone_number": "808-338-9407"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "HI",
            "license": "21-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "005730",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Waimea, HI

Sources for this page

Verify at the official NPI Registry.