Organization Active NPI

Wahiawa General Hospital

  • General Acute Care Hospital
  • Wahiawa, HI
National Provider Identifier
1689643553
Registry record updated Apr 20, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
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
Fax
(808) 621-4117
NPI assigned
Mar 14, 2006
Last updated
Apr 20, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 20, 2008

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
General Acute Care Hospital 282N00000X 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 12

IdentifierTypeStateIssuer
00I0005257OtherHIHMSA/ ASU/OR SVCS
00U0005258OtherHIHMSA QUEST SNF/ICF ANC
0049036801MedicaidHI
00H0005259OtherHIHMSA & 65C OUTPT & SNF/IC
49036801OtherHIALOHACARE PROVIDER ID
00A0005254OtherHIHMSA QUEST SNF WL
D0005258OtherHIBCBS HMSA PHARMACY
0000005256OtherHIHMSA/ ACUTE SVCS
00S0005252OtherHIHMSA QUEST SNF WL ANC
0017OtherHITRICARE OUTPATIENT.ACUTE
00R0005257OtherHIHMSA QUEST ICF WL
9171OtherHITRICARE PRO FEE

National Provider Directory

National Provider Directory

Ownership & related parties

Subparts reporting this organization as parent 5

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

NPI Registry JSON

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

{
    "created_epoch": "1142294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1208649600000",
    "number": "1689643553",
    "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",
            "fax_number": "808-621-4117"
        },
        {
            "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",
            "fax_number": "808-621-4117"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WAHIAWA GENERAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-03-14",
        "last_updated": "2008-04-20",
        "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": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "HI",
            "license": "9-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/ ASU/OR SVCS",
            "identifier": "00I0005257",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST SNF/ICF ANC",
            "identifier": "00U0005258",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0049036801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA & 65C OUTPT & SNF/IC",
            "identifier": "00H0005259",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ALOHACARE PROVIDER ID",
            "identifier": "49036801",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST SNF WL",
            "identifier": "00A0005254",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS HMSA PHARMACY",
            "identifier": "D0005258",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA/ ACUTE SVCS",
            "identifier": "0000005256",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST SNF WL ANC",
            "identifier": "00S0005252",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE OUTPATIENT.ACUTE",
            "identifier": "0017",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HMSA QUEST ICF WL",
            "identifier": "00R0005257",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TRICARE PRO FEE",
            "identifier": "9171",
            "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 Apr 20, 2008; 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.