Kona Hospital

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

45-N Issued in HI

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

Oct 31, 2006

Last updated

Sep 6, 2007By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Donald Lewis

Title

Ceo

Phone

(808) 322-4430

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Kona Community Hospital Doing business as

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

{
    "created_epoch": "1162252800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1189036800000",
    "number": "1962588152",
    "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": "2006-10-31",
        "last_updated": "2007-09-06",
        "status": "A",
        "authorized_official_last_name": "LEWIS",
        "authorized_official_first_name": "DONALD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "808-322-4430"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "HI",
            "license": "45-N",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00577401",
            "state": "HI"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kona Community Hospital",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kona Hospital
• Kona Hospital (Kona Community Hospital)
• Kona Hospital (Kona Community Hospital)
• Kona Hospital
• Kona Hospital (Kona Community Hospital)
• Adriana Heloisa Kruger Fouts
• Kililani Kunitomo
• Nikki Sumie Leili'I Kunitomo, PA-C
• Anne-Marie Lambert, N.D.
• Michelle M Lang

• Nursing Facility/Intermediate Care Facility in Kealakekua, HI
• Providers in Kealakekua, HI by specialty
• Nursing Facility/Intermediate Care Facility in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2007; 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.