Organization Active NPI

Wahiawa General Hospital

  • Psychiatric Hospital Unit
  • Wahiawa, HI
National Provider Identifier
1629032164
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
9-H Issued in HI
Legal business name
WAHIAWA GENERAL HOSPITAL
Practice address
128 Lehua St
Wahiawa, HI 96786-2036
Phone
(808) 621-8411
NPI assigned
Apr 13, 2006
Organization subpart
Yes
Parent organization
WAHIAWA GENERAL HOSPITALAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Jul 21, 2022

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

Authorized official

Name
Mr. Robert D. Olden
Title
Chief Executive Officer
Phone
(808) 621-8411

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 9-H HI Primary

Addresses

Primary practice location

128 Lehua St
Wahiawa, HI 96786-2036

Mailing address

128 Lehua St
Wahiawa, HI 96786-2036
Phone (808) 621-8411

Other identifiers 2

IdentifierTypeStateIssuer
0020OtherHITRICARE PYSCH ID
0049036801MedicaidHI

National Provider Directory

National Provider Directory
Part of
Wahiawa General Hospita

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1144886400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658361600000",
    "number": "1629032164",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "128 LEHUA ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862036",
            "telephone_number": "808-621-8411"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "128 LEHUA ST",
            "city": "WAHIAWA",
            "state": "HI",
            "postal_code": "967862036",
            "telephone_number": "808-621-8411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHIAWA GENERAL HOSPITAL",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "WAHIAWA GENERAL HOSPITAL",
        "enumeration_date": "2006-04-13",
        "last_updated": "2022-07-21",
        "status": "A",
        "authorized_official_last_name": "OLDEN",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "D.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "808-621-8411",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "HI",
            "license": "9-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PYSCH ID",
            "identifier": "0020",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049036801",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wahiawa, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; 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.