NPIMap

Organization Active NPI

Kona Hospital

Doing business as Kona Community Hospital

  • General Acute Care Hospital
  • Kealakekua, HI
National Provider Identifier
1952332991
Registry record updated Sep 4, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
Legal business name
KONA HOSPITAL
Doing business as
Kona Community Hospital
Practice address
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Phone
(808) 322-9311
Fax
(808) 322-4488
NPI assigned
Jul 6, 2006
Last updated
Sep 4, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 4, 2026

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

Authorized official

Name
Clayton McGhan
Title
Ceo
Phone
(808) 322-4433

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X NU Primary

Addresses

Primary practice location

79-1019 Haukapila St
Kealakekua, HI 96750-7920

Mailing address

79-1019 Haukapila St
Kealakekua, HI 96750-7920
Phone (808) 322-9311

Other identifiers 4

IdentifierTypeStateIssuer
00P0005152OtherHIBLUE CROSS ASC
0000005157OtherHIBLUE CROSS ACUTE
00577401MedicaidHI
00H0005150OtherHIBLUE CROSS OP

Other names 1

  • Kona Community Hospital Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address KonaCommuityHospital@direct.hhsc.org Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in HI3 enrollments

Enrollment records 3

Enrollment IDStateProvider typePAC IDDetails
O20030421000040 HI Part A Provider - Hospital 7719896513 Practice locations: Kealakekua, HI
O20040317001388 HI Part B Supplier - Clinic/Group Practice 7719896513 Receives reassigned benefits from 3 practitioners
Practice locations: Kealakekua, HI
O20100706000778 HI Part A Provider - Hospital 7719896513 Practice locations: Kealakekua, HI

NPI to CCN mapping 2

The Medicare certification numbers (CCNs) connected to NPI 1952332991. Details of each certification follow.

Hospital certification: CCN 120019

Legal name
KONA HOSPITAL
Doing business as
KONA HOSPITAL
Certification status
Active
Provider type (POS)
Hospital – Short-term
Participating since
Jul 1, 1966
Last certification
Feb 17, 2011
Beds
60
Ownership / control type
State
Organization structure
OtherNon-profit
Enrollment address
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Other Hospital Practice Location
Hospital subgroups
General, Long-term, Psychiatric

Hospital certification: CCN 12U019

Legal name
KONA HOSPITAL
Organization structure
OtherProprietary
Enrollment address
79-1019 Haukapila St
Kealakekua, HI 96750-7920
Hospital Swing-Bed Unit
Hospital subgroups
Swing-bed approved

Facilities connected through Provider of Services related, parent or unit certification numbers.

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

  • Kona Hospital

    dba Kona Community Hospital

    • Psychiatric Hospital Unit
    • Kealakekua, HI
    • NPI 1639252133

    7719896513

    Same PAC ID

Care Compare: Hospital

Medicare Care Compare
Listed as
Kona Community HospitalCCN 120019 · All quality measures
Overall star rating
2 of 5
Type
Acute Care Hospitals
Ownership
Government - State
Medicare certification status
ActiveFrom the Provider of Services file
Emergency services
Yes

National Provider Directory

National Provider Directory
Tax ID family
Kona Hospital6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

Interoperability endpoints

  • Direct secure messaging: konacommuityhospital@direct.hhsc.org

Ownership & related parties

All disclosed owners & managing parties 24

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
David K Hiranaka Individual Corporate Director Apr 1, 2020
James Y Lee Individual Corporate OfficerChief Executive Officer Aug 1, 2020 100%
W-2 Managing EmployeeChief Executive Officer Aug 1, 2020 100%
Richard J Taaffe Individual Corporate Director Aug 15, 2007
Daniel Rick Individual Corporate Director May 7, 2008
Michael Schlueter Individual Corporate Director Jul 1, 2014
Mark Nellis Individual Corporate OfficerRegional Cfo Apr 13, 2021
Laura Bowman Individual Corporate Director Apr 1, 2020
Jane Dierenfield Individual Corporate Director Jul 1, 2017
Jeffry Brinkley Individual Corporate Director Jul 1, 2020
Frank H Sayre Individual Corporate Director Jul 1, 2014
Sarah L Hathaway Individual Corporate Director Jul 1, 2020
Hawaii Health Systems Corporation Organization, Honolulu, HI 5% Or Greater Direct Ownership Interest Nov 3, 1997 100%
5% Or Greater Direct Ownership Interest Nov 30, 1997 100%
Alistair W Bairos Individual Corporate Director Sep 17, 2007
Richard M McDowell Individual Corporate Director Sep 14, 2007
David Kaapu Individual Corporate Director Aug 15, 2007
Jay E Kreuzer Individual Corporate OfficerRegional Ceo Mar 28, 2011
Patti Aoki Individual Corporate Director Sep 14, 2011
Joel Gimpel Individual Corporate Director Aug 11, 2010
Renee Inaba Individual Corporate Director Mar 11, 2009
Kevin Kunz Individual Corporate Director Aug 11, 2010
Reginald Morimoto Individual Corporate Director Aug 19, 2010
Susan Marie Kingsley Individual W-2 Managing Employee Nov 18, 2013
Kenneth Dean Herzog Individual Corporate OfficerRegional Cfo Mar 1, 2010
Reed Flickenger Individual Corporate Director Jul 17, 2013

Owners & managing parties with NPI records 3

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 34

Facilities that share an organizational owner with 5% or greater ownership or operational control.

View all 34

Practitioners & affiliated clinicians

Practitioners 44

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 44

Affiliated clinicians 163

Clinicians who list this facility as an affiliation in Medicare Care Compare.

View all 163

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788480000000",
    "number": "1952332991",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "79-1019 HAUKAPILA ST",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507920",
            "telephone_number": "808-322-9311",
            "fax_number": "808-322-4488"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "79-1019 HAUKAPILA ST",
            "city": "KEALAKEKUA",
            "state": "HI",
            "postal_code": "967507920",
            "telephone_number": "808-322-9311",
            "fax_number": "808-322-4488"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KONA HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2026-09-04",
        "certification_date": "2026-09-04",
        "status": "A",
        "authorized_official_last_name": "MCGHAN",
        "authorized_official_first_name": "CLAYTON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-322-4433"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ASC",
            "identifier": "00P0005152",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS ACUTE",
            "identifier": "0000005157",
            "state": "HI"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00577401",
            "state": "HI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS OP",
            "identifier": "00H0005150",
            "state": "HI"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "KonaCommuityHospital@direct.hhsc.org",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "79-1019 Haukapila St",
            "city": "Kealakekua",
            "state": "HI",
            "country_code": "US",
            "postal_code": "967507920",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Kona Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Kona Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kealakekua, HI

Sources for this page

Verify at the official NPI Registry.