KAHUKU MEDICAL CENTER (NPI# 1225228687) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1225228687 |
| Entity Type | Organization |
| Organization Name | KAHUKU MEDICAL CENTER |
| Practice Address |
56-117 Pualalea St Kahuku HI 96731-2052 |
| Practice Telephone | 8082939221 |
| Practice Fax Number | 8082932262 |
| Mailing Telephone | 8082939221 |
| Mailing Fax Number | 8082931574 |
| Enumeration Date | 2007-07-31 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | MS. STEPHANY N. VAIOLETI (CEO) |
| Authorized Official Telephone | 8082939221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 313M00000X | Nursing Facility/Intermediate Care Facility | Nursing & Custodial Care Facilities |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639666233 | Kahuku Medical Center | Family Medicine | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2018-04-18 |
| 1720691926 | Kahuku Medical Center | Clinic/Center | 66-214 Haleiwa Rd, Haleiwa, HI 96712-1510 | 2020-08-26 |
| 1780125179 | Kahuku Medical Center | Clinic/Center | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-17 |
| 1881858447 | Kahuku Medical Center | Medicare Defined Swing Bed Unit | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2008-07-14 |
| 1730360934 | Kahuku Medical Center | Pharmacy | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-11-16 |
| 1902087109 | Kahuku Medical Center | Specialist | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-11-16 |
| 1245430065 | Kahuku Medical Center | General Acute Care Hospital | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-07-19 |
| Street Address |
56-117 PUALALEA ST |
| City | KAHUKU |
| State | HI |
| Zip Code | 96731-2052 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619974375 | Kahuku Hospital | Skilled Nursing Facility | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2005-07-07 |
| 1336660091 | Derek Alfred Melcher | Physical Therapist | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-07-03 |
| 1780125179 | Kahuku Medical Center | Clinic/Center | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-17 |
| 1215477476 | Kori Napa'a | Social Worker | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2017-03-06 |
| 1306296389 | Karoline K Tam | Marriage & Family Therapist | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2016-06-21 |
| 1679980387 | Merita Sao-auelua | Registered Nurse | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2014-07-14 |
| 1871918755 | North Shore Mental Health, Inc | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2014-02-28 |
| 1922390442 | North Shore Mental Health, Inc. | Case Management | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2011-05-03 |
| 1144544677 | Thomas Joel Robertson | Social Worker | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2010-03-26 |
| 1346573326 | Sheila Grover Tolutau | Registered Nurse | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2009-09-09 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1174149405 | Teniiti Taie Burennatu | Counselor | 55-660 Kamehameha Hwy, Kahuku, HI 96731 | 2020-06-23 |
| 1568909109 | Maia Miller | Specialist/Technologist | 46-590 Kamehameha Hwy, Kahuku High School, Kahuku, HI 96731 | 2017-01-20 |
| 1063766079 | Ko'olauloa Health Center | Clinic/Center | 56-490 Kamehameha Hwy R-building Rm 104, Kahuku, HI 96731 | 2012-10-30 |
| 1295097830 | Kerry Saitia Moea'i | Social Worker | 56-395 Huehu St., Kahuku, HI 96731 | 2012-06-11 |
| 1114194073 | Jason Hughes | Internal Medicine | 56-117 Pualalea Street, Kahuku, HI 96731 | 2008-05-09 |
| 1942341318 | Kaiser Foundation Health Plan Inc | Pharmacy | 56 700 Kamehameha Highway, Kahuku, HI 96731 | 2007-02-09 |
| 1659438281 | Carol Francine Green | Social Worker | 56 565 Kamehameha Hwy, Kahuku, HI 96731 | 2007-01-02 |
| 1578508602 | Douglas A Sutherland | Pediatrics | 56 119 Pualalea St, Kahuku, HI 96731 | 2006-06-20 |
| 1528026952 | Ko'olauloa Health Center | Clinic/Center | 56-119 Pualalea St., Kahuku, HI 96731 | 2006-05-03 |
| 1144683012 | Tara Reed | Internal Medicine | 56-119 Pualalea St, Kahuku, HI 96731 | 2016-03-30 |
| Find all providers in zip 96731 | ||||
| Taxonomy Code | 313M00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Nursing Facility/Intermediate Care Facility |
| An institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation services for the rehabilitation of injured, disabled, or sick persons, or, on a regular basis, health-related care and services to individuals who because of their mental or physical condition require care and services (above the level of room and board) which can be made available to them only through institutional facilities, and is not primarily for the care and treatment of mental diseases; (2) has in effect a transfer agreement with one or more hospitals. |
| Notes: Source: Paraphrased from Section 1919 (a) of the Social Security Act. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1225573124 | Lyndon Redona | Nursing Facility/Intermediate Care Facility | 94-1065 Lumiaina St, Waipahu, HI 96797-3912 | 2016-12-30 |
| 1073069134 | Manilyn B Nagtalon | Nursing Facility/Intermediate Care Facility | 91-1002 Fort Weaver Rd, Ewa Beach, HI 96706-2229 | 2016-08-29 |
| 1659658664 | Craigside Retirement Residence | Nursing Facility/Intermediate Care Facility | 15 Craigside Pl, Honolulu, HI 96817-1799 | 2011-11-04 |
| 1457412066 | Kohala Hospital | Nursing Facility/Intermediate Care Facility | 54 383 Hospital Rd, Kapaau, HI 96755 | 2006-12-13 |
| 1699782342 | Kahala Senior Living Community Inc | Nursing Facility/Intermediate Care Facility | 4389 Malia St, Honolulu, HI 96821-1106 | 2006-08-02 |
| 1124063003 | Pc Care Corp | Nursing Facility/Intermediate Care Facility | 919 Lehua Ave, Pearl City, HI 96782-3328 | 2006-06-17 |
| 1558346528 | Maunalani Nursing and Rehabilitation Center | Nursing Facility/Intermediate Care Facility | 5113 Maunalani Cir, Honolulu, HI 96816-4019 | 2005-12-13 |
| 1376525584 | Diversified Health Services | Nursing Facility/Intermediate Care Facility | 1900 Bachelot St, Honolulu, HI 96817-2431 | 2005-11-15 |
| 1992792733 | Hale Kupuna Heritage Home, LLC | Nursing Facility/Intermediate Care Facility | 4297c Omao Rd, Koloa, HI 96756-9624 | 2005-10-05 |
| 1598765414 | Leki, Incorporated | Nursing Facility/Intermediate Care Facility | 469 Ena Rd, 2301, Honolulu, HI 96815-1749 | 2005-07-21 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on KAHUKU MEDICAL CENTER.
| 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.