NPIMap

Organization Active NPI

Kona Hospital

Doing business as Kona Community Hospital

  • Psychiatric Hospital Unit
  • Kealakekua, HI
National Provider Identifier
1639252133
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric Hospital UnitTaxonomy code 273R00000X
License
19-H Issued in HI
Legal business name
KONA HOSPITAL
Doing business as
Kona Community Hospital
Practice address
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Phone
(808) 322-9311
Fax
(808) 322-4488
NPI assigned
Oct 20, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Clayton McGhan
Title
Ceo
Phone
(808) 747-8725

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric Hospital Unit 273R00000X 19-H HI Primary

Addresses

Primary practice location

79-1019 Haukapila St
Kealakekua, HI 96750-7920

Mailing address

79-1019 Haukapila St
Kealakekua, HI 96750-7920
Phone (808) 322-9311

Other identifiers 1

IdentifierTypeStateIssuer
00L0005151OtherHIBLUE CROSS SENIOR PSYCH

Other names 1

  • Kona Community Hospital Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100608000946 HI Part A Provider - Hospital 7719896513 Practice locations: Kealakekua, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1639252133. Details of each certification follow.

Hospital certification: CCN 12S019

Legal name
KONA HOSPITAL
Organization structure
OtherNon-profit
Enrollment address
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Hospital Psychiatric Unit
Hospital subgroups
Psychiatric unit

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

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Kona Hospital

    dba Kona Community Hospital

    • General Acute Care Hospital
    • Kealakekua, HI
    • NPI 1952332991

    7719896513

    Same PAC ID

National Provider Directory

National Provider Directory
Tax ID family
Kona Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

Ownership & related parties

All disclosed owners & managing parties 12

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

NameRoleSinceShare
Alistair W Bairos Individual Corporate Director Sep 17, 2007
David K Hiranaka Individual Corporate Director Apr 1, 2020
James Y Lee Individual Corporate OfficerChief Executive Officer Aug 1, 2020
W-2 Managing EmployeeChief Executive Officer Aug 1, 2020
Daniel Rick Individual Corporate Director May 7, 2008
Michael Schlueter Individual Corporate DirectorDirector Jul 1, 2014
Mark Nellis Individual Corporate OfficerRegional Chief Financial Officer Apr 1, 2021
Laura Bowman Individual Corporate DirectorDirector Apr 1, 2020
Jane Dierenfield Individual Corporate DirectorDirector Jul 1, 2017
Jeffry Brinkley Individual Corporate Director Jul 1, 2020
Frank H Sayre Individual Corporate Director Jul 1, 2014
Sarah L Hathaway Individual Corporate Director Jul 1, 2020
Hawaii Health Systems Corporation Organization, Pahala, HI 5% Or Greater Direct Ownership Interest Nov 3, 1997 100%

Owners & managing parties with NPI records 3

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

Facilities with the same owner 34

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

View all 34

Practitioners & affiliated clinicians

Practitioners 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1161302400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1639252133",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-1019 HAUKAPILA ST",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507920",
            "telephone_number": "808-322-9311",
            "fax_number": "808-322-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-1019 HAUKAPILA ST",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507920",
            "telephone_number": "808-322-9311",
            "fax_number": "808-322-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-10-20",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "MCGHAN",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-747-8725"
    },
    "taxonomies": [
        {
            "code": "273R00000X",
            "taxonomy_group": "",
            "desc": "Psychiatric Unit",
            "state": "HI",
            "license": "19-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS SENIOR PSYCH",
            "identifier": "00L0005151",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kona Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kona Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.