Organization Active NPI

North Hawaii Community Hospital, Inc.

  • General Acute Care Hospital
  • Kamuela, HI
National Provider Identifier
1730327396
Registry record updated Dec 28, 2012
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
NORTH HAWAII COMMUNITY HOSPITAL, INC.
Practice address
67-1125 Mamalahoa Hwy
Kamuela, HI 96743-8496
Phone
(808) 885-4400
Fax
(808) 881-4624
NPI assigned
Feb 4, 2009
Last updated
Dec 28, 2012By the provider in NPPES
Organization subpart
Yes
Parent organization
NORTH HAWAII COMMUNITY HOSPITAL, INC.As reported in NPPES

NPPES NPI Registry

Updated by the provider on Dec 28, 2012

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

Authorized official

Name
Jason D Paret
Title
Cfo
Phone
(808) 885-4400

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) 885-4400

Other identifiers 1

IdentifierTypeStateIssuer
7835201MedicaidHI

Other names 1

  • Hospitalist Physician Group Other name

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040225000562 HI Part B Supplier - Clinic/Group Practice 0143116293 Receives reassigned benefits from 279 practitioners
5 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Honolulu, HI; Waipahu, HI; Kamuela, HI

Other NPIs on the same Medicare enrollment 5

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

National Provider Directory

National Provider Directory
Tax ID family
Queens North Hawaii Community Hospital7 organizations share this tax ID, including this one
Part of
Queens North Hawaii Community Hospital

Other organizations with this tax ID 6

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

Practitioners & affiliated clinicians

Practitioners 46

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 46

NPI Registry JSON

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

{
    "created_epoch": "1233705600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1356652800000",
    "number": "1730327396",
    "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": "808-885-4400",
            "fax_number": "808-881-4624"
        },
        {
            "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": "808-885-4400",
            "fax_number": "808-881-4624"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NORTH HAWAII COMMUNITY HOSPITAL, INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "NORTH HAWAII COMMUNITY HOSPITAL, INC.",
        "enumeration_date": "2009-02-04",
        "last_updated": "2012-12-28",
        "status": "A",
        "authorized_official_last_name": "PARET",
        "authorized_official_first_name": "JASON",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "808-885-4400"
    },
    "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": "7835201",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Hospitalist Physician Group",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Kamuela, HI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 28, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.