Straub Clinic & Hospital

Primary specialty

Non-Pharmacy Dispensing SiteTaxonomy code 332900000X

License

EOO813 Issued in HI

Legal business name

STRAUB CLINIC & HOSPITAL

Practice address

628 - B Seventh St
Lanai City, HI 96763

Phone

(808) 565-6423

Fax

(808) 565-7480

NPI assigned

Jun 9, 2006

Organization subpart

No

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

Authorized official

Name

Jamie Ota

Title

Contract Manager

Phone

(808) 535-7258

Specialties & licenses 1

Addresses

Other identifiers 2

Other names 1

• LANAI FAMILY HEALTH CENTER Other name

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1149811200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1225411200000",
    "number": "1871534735",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 631350",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "96763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "628 - B SEVENTH ST",
            "city": "LANAI CITY",
            "state": "HI",
            "postal_code": "96763",
            "telephone_number": "808-565-6423",
            "fax_number": "808-565-7480"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STRAUB CLINIC & HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-06-09",
        "last_updated": "2008-10-31",
        "status": "A",
        "authorized_official_last_name": "OTA",
        "authorized_official_first_name": "JAMIE",
        "authorized_official_title_or_position": "CONTRACT MANAGER",
        "authorized_official_telephone_number": "808-535-7258"
    },
    "taxonomies": [
        {
            "code": "332900000X",
            "taxonomy_group": "",
            "desc": "Non-Pharmacy Dispensing Site",
            "state": "HI",
            "license": "EOO813",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER-COMMERCIAL NUMBER",
            "identifier": "1204433",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OTHER ID NUMBER",
            "identifier": "1204433",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LANAI FAMILY HEALTH CENTER",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• James M Sagawa, DMD
• Jessica R Silsby, DPT
• Alexandra Stansel, BCBA, LBA
• State of Hawaii Department of Health (Maui Community Mental Health Center - Lanai Clinic)
• Straub Clinic & Hospital
• Straub Clinic & Hospital (Lanai Clinic Pharmacy)
• Cori Takesue, PSY.D.
• Allyna Teppang, BSN RN
• Aaron Tomatani
• Elizabeth R. K. Tomoso, OTR

• Non-Pharmacy Dispensing Site in Lanai City, HI
• Providers in Lanai City, HI by specialty
• Non-Pharmacy Dispensing Site in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.