KAU HOSPITAL (NPI# 1144304338) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1144304338 |
| Entity Type | Organization |
| Organization Name | KAU HOSPITAL |
| Practice Address |
1 Kamani Street Pahala HI 96777 |
| Mailing Address |
Po Box 40 Pahala HI 96777-0040 |
| Practice Telephone | 8089282050 |
| Practice Fax Number | 8089288980 |
| Mailing Telephone | 8089282050 |
| Mailing Fax Number | 8089288980 |
| Enumeration Date | 2006-10-24 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | MRS. MERILYN HARRIS (ADMINISTRATOR) |
| Authorized Official Telephone | 8089282050 |
| Is Organization Subpart | Y |
| Parent Organization Name | HAWAII HEALTH SYSTEMS CORPORATION |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
123976 | HI | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | 549769 | 05 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336789874 | Kau Hospital | Clinic/Center | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-01-13 |
| 1164083374 | Kau Hospital | Clinic/Center | 1285 Waianuenue Ave, Hilo, HI 96720-1209 | 2019-06-27 |
| 1174777916 | Kau Hospital | Clinic/Center | 15-2662 Pahoa Village Rd, Suite 303, Pahoa, HI 96778-7730 | 2008-11-06 |
| 1902977440 | Kau Hospital | Medicare Defined Swing Bed Unit | 1 Kamani Street, Pahala, HI 96777 | 2006-11-13 |
| 1801966783 | Kau Hospital | Nursing Facility/Intermediate Care Facility | 1 Kamani Street, Pahala, HI 96777 | 2006-11-08 |
| 1558441311 | Kau Hospital | General Acute Care Hospital | 1 Kamani Street, Pahala, HI 96777 | 2006-10-16 |
| Street Address |
1 KAMANI STREET |
| City | PAHALA |
| State | HI |
| Zip Code | 96777 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033177605 | Darrel Wayn Killebrew | Emergency Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-05-03 |
| 1902977440 | Kau Hospital | Medicare Defined Swing Bed Unit | 1 Kamani Street, Pahala, HI 96777 | 2006-11-13 |
| 1801966783 | Kau Hospital | Nursing Facility/Intermediate Care Facility | 1 Kamani Street, Pahala, HI 96777 | 2006-11-08 |
| 1013091305 | Harold D Dow | Emergency Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 1649354911 | Chinyere Ekechuku | Internal Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 1558441311 | Kau Hospital | General Acute Care Hospital | 1 Kamani Street, Pahala, HI 96777 | 2006-10-16 |
| 1386680916 | Carol Dexter Hayes | Family Medicine | 1 Kamani Street, Pahala, HI 96777-0000 | 2006-06-21 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609409614 | 5-point United Allegiance Corp. | Nursing Care | 96-3215 Hau Street, Pahala, HI 96777 | 2020-02-18 |
| 1700928413 | Kau Community Pharmacy, Inc. | Pharmacy | 96-1115 Kamani Street, Suite 36, Pahala, HI 96777 | 2007-02-12 |
| 1497846349 | Patricia Lynn Mullen | Family Medicine | 1 Kamani St, Pahala, HI 96777 | 2006-09-27 |
| 1023171725 | Elizabeth Joyce Pacarro | Nurse Practitioner | 1 Kamani St, Pahala, HI 96777 | 2006-12-18 |
| 1760627202 | Sherrian Witt | Counselor | 1 Kamani St., Pahala, HI 96777-0917 | 2008-12-12 |
| 1881856367 | Longs Drug Stores California LLC | Durable Medical Equipment & Medical Supplies | 96-3163 Pikake St, Pahala, HI 96777-9997 | 2008-06-26 |
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 1578948519 | Castle Medical Center | Clinic/Center | 55-510 Kamehameha Hwy Laie, Suite 5, Laie, HI 96762-1119 | 2015-07-20 |
| 1720691926 | Kahuku Medical Center | Clinic/Center | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2020-08-26 |
| 1952920555 | Koa Community Clinic, Inc | Clinic/Center | 75-5995 Kuakini Hwy Ste 445, Kailua Kona, HI 96740-2123 | 2020-04-13 |
| 1336789874 | Kau Hospital | Clinic/Center | 1190 Waianuenue Ave, Hilo, HI 96720-2089 | 2020-01-13 |
| 1164083374 | Kau Hospital | Clinic/Center | 1285 Waianuenue Ave, Hilo, HI 96720-1209 | 2019-06-27 |
| 1689138885 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 74-517 Honokohau St, Kailua Kona, HI 96740-2715 | 2019-01-22 |
| 1730643933 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 1292 Waianuenue Ave, Hilo, HI 96720-1228 | 2019-01-22 |
| 1780125179 | Kahuku Medical Center | Clinic/Center | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-17 |
| 1831630920 | Kaiser Foundation Health Plan, Inc | Clinic/Center | 910 Wainee St, Lahaina, HI 96761-1622 | 2017-03-09 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.