NPIMap

Organization Active NPI

Kahuku Medical Center

  • Rural Health Clinic/Center
  • Kahuku, HI
National Provider Identifier
1780125179
Registry record updated Sep 24, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rural Health Clinic/CenterTaxonomy code 261QR1300X
Legal business name
KAHUKU MEDICAL CENTER
Practice address
56-117 Pualalea St
Kahuku, HI 96731-2052
Phone
(808) 293-6269
Fax
(808) 293-1574
NPI assigned
Mar 17, 2017
Last updated
Sep 24, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 24, 2026

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

Authorized official

Name
Mr. Steven Nawahine
Title
Ceo
Phone
(808) 293-9221

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rural Health Clinic/Center 261QR1300X NU Primary

Addresses

Primary practice location

56-117 Pualalea St
Kahuku, HI 96731-2052

Mailing address

56-117 Pualalea St
Kahuku, HI 96731-2052
Phone (808) 293-6269

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100918000238 HI Part B Supplier - Clinic/Group Practice 1557446697 Receives reassigned benefits from 12 practitioners
2 other NPIs on this enrollment
This NPI is an additional NPI on the enrollment
Practice locations: Kahuku, HI

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1780125179. Details of each certification follow.

Rural health clinic certification: CCN 123980

Name & address match This certification has no NPI in the Medicare enrollment files. CMS publishes enrollment files for six facility types only, so it was connected to this NPI by matching the name and address CMS publishes for it.

Legal name
THE CLINIC AT KAHUKU MEDICAL CENTER
Certification status
Active
Provider type (POS)
Rural health clinic
Participating since
May 30, 2018
Last certification
May 30, 2018
Ownership / control type
2B
Facility address
56-117 Pualalea Street
Kahuku, HI 96731
Related CCNs
121304

Other NPIs on the same Medicare enrollment 2

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

National Provider Directory

National Provider Directory

Locations

66-632 Kamehameha Hwy
Ste 101
Haleiwa, HI 96712

Practitioners & affiliated clinicians

Practitioners 10

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": "1489708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1790208000000",
    "number": "1780125179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "56-117 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-6269",
            "fax_number": "808-293-1574"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "56-117 PUALALEA ST",
            "city": "KAHUKU",
            "state": "HI",
            "postal_code": "967312052",
            "telephone_number": "808-293-6269",
            "fax_number": "808-293-1574"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KAHUKU MEDICAL CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-03-17",
        "last_updated": "2026-09-24",
        "certification_date": "2026-09-24",
        "status": "A",
        "authorized_official_last_name": "NAWAHINE",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-293-9221",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "261QR1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rural Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kahuku, HI

Sources for this page

Verify at the official NPI Registry.