NPIMap

Organization Active NPI

Queens North Hawaii Community Hospital

  • General Acute Care Hospital
  • Kamuela, HI
National Provider Identifier
1477559029
Registry record updated Feb 27, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
39-H Issued in HI
Legal business name
QUEENS NORTH HAWAII COMMUNITY HOSPITAL
Practice address
67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Phone
(808) 881-4400
Fax
(808) 881-4404
NPI assigned
Jun 27, 2005
Last updated
Feb 27, 2025By the provider in NPPES
Organization subpart
Yes
Parent organization
THE QUEEN'S HEALTH SYSTEMSAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Feb 27, 2025

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

Authorized official

Name
Money S. Atwal
Title
Director of Finance & It
Phone
(808) 881-4409

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 39-H HI Primary

Addresses

Primary practice location

67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496

Mailing address

PO Box 2799
Kamuela, HI 96743-2799
Phone (808) 881-4400

Other identifiers 1

IdentifierTypeStateIssuer
70835204MedicaidHI

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI, CA, WI, WA, ID, NJ, MA, MD, MI, PA, DC, LA, TX, FL14 enrollments

Enrollment records 14

Enrollment IDStateProvider typePAC IDDetails
O20101014000297 HI Part A Provider - Hospital 0143116293 Practice locations: Kamuela, HI
O20231115001034 CA Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 45 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Piedmont, CA; Pleasant Hill, CA; Redondo Beach, CA; Redwood City, CA; Roseville, CA; San Diego, CA; San Francisco, CA; San Jose, CA…
O20241216003108 WI Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Egg Harbor, WI
O20250131002065 WA Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Clyde Hill, WA; Woodinville, WA
O20250211000923 ID Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: Victor, ID
O20250220002780 NJ Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
Practice locations: Lawrence Township, NJ; Morganville, NJ; Princeton, NJ; Scotch Plains, NJ
O20250224000296 MA Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Milford, MA; Newton, MA; Wellesley, MA; Winchester, MA
O20250317002814 MD Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Baltimore, MD
O20250318000836 MI Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
Practice locations: West Bloomfield, MI
O20250407001517 PA Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 4 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Huntingdon, PA; Paoli, PA; Pittsburgh, PA
O20250415003565 DC Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Dunn Loring, VA; Washington, DC
O20250718000211 LA Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 1 practitioner
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: New Orleans, LA
O20250721000585 TX Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 2 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Fort Worth, TX; Humble, TX
O20250805000813 FL Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 5 practitioners
1 other NPI on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Jupiter, FL; Coral Gables, FL; Ormond Beach, FL; Miami, FL; Miami Beach, FL

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1477559029. Details of each certification follow.

Hospital certification: CCN 120028

Legal name
QUEENS NORTH HAWAII COMMUNITY HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 3, 1996
Last certification
Jun 10, 2013
Beds
33
Ownership / control type
Private (not for profit)
Organization structure
CorporationNon-profit
Incorporated
Nov 30, 1987 in HI
Enrollment address
67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Other Hospital Practice Location
Hospital subgroups
Acute care

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

Other NPIs with the same Medicare PAC ID 4

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.

  • Queens North Hawaii Community Hospital
    • Orthopaedic Surgery Physician
    • Kamuela, HI
    • NPI 1528049814

    O20231115001034, O20241216003108, O20250131002065, O20250211000923, O20250220002780, O20250224000296, O20250317002814, O20250318000836, O20250407001517, O20250415003565, O20250718000211, O20250721000585, O20250805000813

    Same enrollment

Care Compare: Hospital

Medicare Care Compare
Listed as
North Hawaii Community Hospital, IncCCN 120028 · All quality measures
Overall star rating
3 of 5
Type
Acute Care Hospitals
Ownership
Voluntary non-profit - Private
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Part of
Queens North Hawaii Community Hospital

Locations

67-1123 Mamalahoa Hwy
Kamuela, HI 96743
Phone (808) 885-0342

Interoperability endpoints

  • Direct secure messaging: aimee.perreira@hawaiihie.medicity.net
  • Direct secure messaging: alexander.garber@hawaiihie.medicity.net
  • Direct secure messaging: darrin.kuczynski@hawaiihie.medicity.net
  • Direct secure messaging: derek.dombroski@hawaiihie.medicity.net
  • Direct secure messaging: jason.kaneshige@hawaiihie.medicity.net
  • Direct secure messaging: mark.villarin@hawaiihie.medicity.net

Ownership & related parties

All disclosed owners & managing parties 13

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

NameRoleSinceShare
Darlena Chadwick Individual Corporate DirectorTrustee Jan 24, 2022
Todd L Allen Individual Corporate DirectorTrustee Jan 1, 2024
Jason C Chang Individual Corporate DirectorBoard Chair Jul 12, 2024
Stephany Vaioleti Individual Corporate OfficerPresident Dec 1, 2023
W-2 Managing EmployeePresident Dec 1, 2023
Richard M Levy Individual Corporate DirectorBoard Member Jan 15, 2014
Robert R Dean Individual Corporate DirectorTrustee Jan 1, 2023
William Mitchell Individual Corporate DirectorTrustee Jan 15, 2014
Robert Hastings Individual Corporate DirectorBoard Member Jan 15, 2014
Kyle J.K. Chock Individual Corporate DirectorBoard Member Jan 1, 2018
Money S Atwal Individual Corporate OfficerTreasurer Dec 2, 2016
Patrick D Ching Individual Corporate DirectorTrustee Jan 1, 2018
The Queen's Health Systems Organization, Honolulu, HI Non-profit 5% Or Greater Direct Ownership Interest Jan 15, 2014 100%
Shariann K Gonsalves Individual Corporate OfficerSecretary May 23, 2014

Owners & managing parties with NPI records 1

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

All facility ownership & control disclosures 2

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

FacilityTypeRoleSince
Women's CenterKamuela, HI, CCN 123981 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Nov 25, 2003
Primary Care ClinicKamuela, HI, CCN 123982 Rural health clinic 5% Or Greater Direct Ownership Interest (100%) Sep 1, 2011

Owned or controlled facilities with NPI records 2

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

Facilities with the same owner 4

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

Practitioners & affiliated clinicians

Practitioners 155

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 155

Affiliated clinicians 277

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

View all 277

NPI Registry JSON

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

{
    "created_epoch": "1119830400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740614400000",
    "number": "1477559029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2799",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967432799",
            "telephone_number": "808-881-4400",
            "fax_number": "808-881-4404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "67-1125 MAMALAHOA HWY",
            "city": "KAMUELA",
            "state": "HI",
            "postal_code": "967438496",
            "telephone_number": "808-881-4400",
            "fax_number": "808-881-4404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "QUEENS NORTH HAWAII COMMUNITY HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE QUEEN'S HEALTH SYSTEMS",
        "enumeration_date": "2005-06-27",
        "last_updated": "2025-02-27",
        "certification_date": "2025-02-27",
        "status": "A",
        "authorized_official_last_name": "ATWAL",
        "authorized_official_first_name": "MONEY",
        "authorized_official_middle_name": "S.",
        "authorized_official_title_or_position": "DIRECTOR OF FINANCE & IT",
        "authorized_official_telephone_number": "808-881-4409"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "HI",
            "license": "39-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "70835204",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Kamuela, HI

Sources for this page

Verify at the official NPI Registry.