Kaiser Foundation Health Plan Inc
Organization Active NPI Clinical Medical Laboratory · Lahaina, HI
NPI 1922013309 · NPPES record last updated Mar 13, 2024
Key facts
- NPI
- 1922013309
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Clinical Medical Laboratory 291U00000X
- License
- 12D0619588 (HI)
- Legal business name
- KAISER FOUNDATION HEALTH PLAN INC
- Practice address
- 910 Wainee St
Lahaina, HI 96761-1622 - Phone
- (808) 662-6918
- Fax
- (808) 662-6930
- NPI assigned
- Jul 31, 2006
- Organization subpart
- No
Authorized official
- Name
- James G. Adams Jr.
- Title
- Executive Director, Finance Leader
- Phone
- (808) 286-6758
Other NPIs on the same Medicare enrollment 33
Corporate family (same tax ID) 18
Practitioners 9
-
Maria T. Barton, CRNA
-
Johann Ross Hepner, PMHNP-BC
-
Malina E M Korth, CRNA
-
Elicia Ann Lujan, CFNP
-
Grayden J Shull, CRNA
-
Milica Kovijanic Russell, AUD AUDIOLOGY
-
Laurence Sagasay, CRNA
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled (2 enrollments) in HI
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20031119000948 | HI | Part B Supplier - Clinic/Group Practice | 1850205360 |
Receives reassigned benefits from 208 practitioners 31 other NPIs on this enrollment This NPI is an additional NPI on the enrollment |
| O20061030000109 | HI | Part B Supplier - Independent Clinical Laboratory | 1850205360 |
18 other NPIs on this enrollment This NPI is an additional NPI on the enrollment Practice locations: Kapolei, HI; Waipahu, HI; Wailuku, HI; Waianae, HI; Lihue, HI; Lahaina, HI; Kihei, HI; Kamuela, HI… |
National Provider Directory
- Tax ID family
- Kaiser FDN HLTH Plan Phcy
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Medical Laboratory | 291U00000X | 12D0619588 | HI | Yes |
Addresses
Primary practice location
910 Wainee St
Lahaina, HI 96761-1622
Mailing address
711 Kapiolani Blvd
Billing Department
Honolulu, HI 96813-5214
Phone (808) 432-5340
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 549933-01 | Medicaid | HI |
Other names
- Kaiser Lahaina Clinic Laboratory
Other providers in Lahaina, HI
- Glenn Y. Kadohiro
- Kahana Family Dental Center, Inc.
- Kahana Physical Therapy Center,Inc
- Kaiser Foundation Health Plan
- Kaiser Foundation Health Plan
- Kaiser Foundation Health Plan, Inc
- Kaiser Foundation Health Plan, Inc
- Lizzie Anne Kamstra
- Meja Kaualehua Kaniho
- Grant S Keefer
All providers in Lahaina, HI · Clinical Medical Laboratory in Hawaii
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 13, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.