NPIMap

Organization Active NPI

Maui Memorial Hospital

  • General Acute Care Hospital
  • Spokane, WA
National Provider Identifier
1952525644
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
General Acute Care HospitalTaxonomy code 282N00000X
License
3-H Issued in HI
Legal business name
MAUI MEMORIAL HOSPITAL
Practice address
819 W 7TH Ave
Spokane, WA 99204-2808
Phone
(509) 344-9924
Fax
(509) 456-8811
NPI assigned
Apr 12, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Eliot Fredd
Title
Director of Revenue
Phone
(808) 242-2017

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
General Acute Care Hospital 282N00000X 3-H HI Primary

Addresses

Primary practice location

819 W 7TH Ave
Spokane, WA 99204-2808

Mailing address

221 Mahalani St
Wailuku, HI 96793-2526
Phone (808) 242-2010

Other identifiers 2

IdentifierTypeStateIssuer
1456829MedicaidLA
0579601MedicaidHI

National Provider Directory

National Provider Directory
Tax ID family
Maui Memorial Medical Center7 organizations share this tax ID, including this one

Other organizations with this tax ID 6

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

Locations

819 W 7th Ave
Spokane, WA 99204
Phone (509) 344-9924

NPI Registry JSON

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

{
    "created_epoch": "1176336000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1952525644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 MAHALANI ST",
            "city": "WAILUKU",
            "state": "HI",
            "postal_code": "967932526",
            "telephone_number": "808-242-2010",
            "fax_number": "808-242-2644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "819 W 7TH AVE",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992042808",
            "telephone_number": "509-344-9924",
            "fax_number": "509-456-8811"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAUI MEMORIAL HOSPITAL",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "FREDD",
        "authorized_official_first_name": "ELIOT",
        "authorized_official_title_or_position": "DIRECTOR OF REVENUE",
        "authorized_official_telephone_number": "808-242-2017"
    },
    "taxonomies": [
        {
            "code": "282N00000X",
            "taxonomy_group": "",
            "desc": "General Acute Care Hospital",
            "state": "HI",
            "license": "3-H",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1456829",
            "state": "LA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0579601",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.