KAU HOSPITAL (NPI# 1558441311) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1558441311 |
| 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 | 2006-10-16 |
| Last Update Date | 2011-02-07 |
| Authorized Official Name | MRS. MERILYN J 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 | 282NC0060X |
General Acute Care Hospital Specialization: Critical Access |
121301 | HI | Hospitals |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| HI | HMSA ACUTE | A005064 | 01 |
| HI | MEDICAID | 00567501 | 01 |
| HI | HMSA OUTPATIENT | H005069 | 01 |
| HI | HMSA QUEST ICF | K005062 | 01 |
| HI | HMSA SNF | B005062 | 01 |
| 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 |
| 1144304338 | Kau Hospital | Clinic/Center | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 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 |
| 1144304338 | Kau Hospital | Clinic/Center | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 1649354911 | Chinyere Ekechuku | Internal Medicine | 1 Kamani Street, Pahala, HI 96777 | 2006-10-24 |
| 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 | 282NC0060X |
| Grouping | Hospitals |
| Classification | General Acute Care Hospital |
| Specialization | Critical Access |
| Definition to come. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1588734420 | Kohala Hospital | General Acute Care Hospital | 54 383 Hospital Road, Kapaau, HI 96755 | 2006-11-08 |
| 1962583328 | Lanai Community Hospital | General Acute Care Hospital | 628 Seventh Street, Lanai, HI 96763 | 2006-10-18 |
| 1336501634 | Maui Health System A Kaiser Foundation Hospitals LLC | General Acute Care Hospital | 628 Seventh Street, Lana'i City, HI 96763 | 2016-03-25 |
| 1861854226 | Maui Health System A Kaiser Foundation Hospitals LLC | General Acute Care Hospital | 100 Keokea Pl, Kula, HI 96790-7450 | 2016-03-24 |
| 1245430065 | Kahuku Medical Center | General Acute Care Hospital | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-07-19 |
| 1619038536 | Samuel Mahelona Memorial Hospital | General Acute Care Hospital | 4800 Kawaihau Road, Kapaa, HI 96746 | 2006-12-13 |
| 1467510743 | Kauai Veterans Memorial Hospital | General Acute Care Hospital | 4643 Waimea Canyon Drive, Waimea, HI 96796-0337 | 2006-12-05 |
| 1164506317 | Hale Ho'ola Hamakua | General Acute Care Hospital | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-10-24 |
| 1003905092 | Kula Hospital | General Acute Care Hospital | 100 Keokea Pl, Kula, HI 96790-7450 | 2006-10-11 |
| 1366486979 | Molokai General Hospital | General Acute Care Hospital | 280 Homeolu Place, Kaunakakai, HI 96748 | 2006-06-15 |
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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.