Active NPI
Wahiawa General Hospital
- Nursing Facility/Intermediate Care Facility
- Wahiawa, HI
National Provider Identifier
1891759338
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Nursing Facility/Intermediate Care Facility
- License
- 37-N
- Legal business name
- WAHIAWA GENERAL HOSPITAL
- Practice address
- 128 Lehua St
Wahiawa, HI 96786-2036 - Phone
- (808) 621-8411
- NPI assigned
- Apr 13, 2006
- Organization subpart
- Yes
- Parent organization
- WAHIAWA GENERAL HOSPITAL
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Nursing Facility/Intermediate Care Facility | 313M00000X | 37-N | 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 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0049036801 | Medicaid | HI | |
| 0018 | Other | HI | TRICARE SNF ID |
| 49036801 | Other | HI | ALOHACARE |
National Provider Directory
National Provider Directory- Part of
- Wahiawa General Hospita
Locations
128 Lehua St
Wahiawa, HI 96786
Phone (808) 621-4330
Ownership & related parties
Parent organization (reported in NPPES) 1
This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.
-
- General Acute Care Hospital
- Wahiawa, HI
- NPI 1689643553
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1144886400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1208649600000",
"number": "1891759338",
"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"
},
{
"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"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WAHIAWA GENERAL HOSPITAL",
"organizational_subpart": "YES",
"parent_organization_legal_business_name": "WAHIAWA GENERAL HOSPITAL",
"enumeration_date": "2006-04-13",
"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": "313M00000X",
"taxonomy_group": "",
"desc": "Nursing Facility/Intermediate Care Facility",
"state": "HI",
"license": "37-N",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0049036801",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TRICARE SNF ID",
"identifier": "0018",
"state": "HI"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALOHACARE",
"identifier": "49036801",
"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.