CASTLE MEDICAL CENTER (NPI# 1578948519) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1578948519 |
| Entity Type | Organization |
| Organization Name | CASTLE MEDICAL CENTER |
| Other Organization Name | CASTLE HEALTH CLINIC OF LAIE |
| Practice Address |
55-510 Kamehameha Hwy Laie Suite 5 Laie HI 96762-1119 |
| Mailing Address |
640 Ulukahiki St Kailua HI 96734-4454 |
| Practice Telephone | 8082938558 |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2016-09-30 |
| Authorized Official Name | JEFFREY NYE (CFO) |
| Authorized Official Telephone | 8082635017 |
| Is Organization Subpart | Y |
| Parent Organization Name | CASTLE MEDICAL CENTER |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR1300X |
Clinic/Center Specialization: Rural Health |
Ambulatory Health Care Facilities |
| Other Name | Type Code |
|---|---|
| Castle Health Clinic of Laie | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1659409266 | Castle Medical Center | Nursing Care | 46-001 Kamehameha Hwy Ste 212, Kaneohe, HI 96744-3732 | 2007-03-02 |
| 1679540264 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 46 001 Kamehameha Hwy, Suite 108, Kaneohe, HI 96744 | 2006-03-02 |
| 1316937691 | Castle Medical Center | General Acute Care Hospital | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-10-26 |
| 1710336011 | Castle Medical Center | Internal Medicine | 30 Aulike St, Suite 501, Kailua, HI 96734-2739 | 2016-06-07 |
| 1902059579 | Castle Medical Center | General Acute Care Hospital | 642 Ulukahiki Street, Kailua, HI 96734-4454 | 2008-10-28 |
| 1497872121 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2007-03-26 |
| 1235262114 | Castle Medical Center | Pharmacy | 640 Ulukahiki St, Inpatient Pharmacy, Kailua, HI 96734 | 2007-03-13 |
| 1588792196 | Castle Medical Center | Nursing Care | 46-001 Kamehameha Hwy Ste 212, Kaneohe, HI 96744-3732 | 2007-03-02 |
| 1588631170 | Castle Medical Center | Durable Medical Equipment & Medical Supplies | 642 Ulukahiki St, Ste 101, Kailua, HI 96734 | 2006-03-02 |
| 1053397695 | Castle Medical Center | Nurse Anesthetist, Certified Registered | 640 Ulukahiki St, Kailua, HI 96734-4454 | 2005-12-15 |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| System for Award Management (SAM) Entities | CASTLE MEDICAL CENTER | 640 Ulukahiki St, Kailua, HI 96734-4454 |
| Street Address |
55-510 KAMEHAMEHA HWY LAIE SUITE 5 |
| City | LAIE |
| State | HI |
| Zip Code | 96762-1119 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316295918 | Carl Malele Fonoimoana Jr. | Counselor | 55-533 Iosepa Street, Laie, HI 96762 | 2012-08-29 |
| 1740540723 | Joe Wilson | Counselor | 55-025 Lanihuli Street, Laie, HI 96762 | 2012-05-23 |
| 1083880199 | Charlene Dawn Kurihara Akana | Specialist/Technologist | 55-220 Kulanui Street, Byuh #1937 Attn Dawn Akana, Laie, HI 96762 | 2008-05-08 |
| 1972775997 | Foodland Supermarket Ltd | Pharmacy | 55 510 Kamehameha Hwy, Laie, HI 96762 | 2008-03-31 |
| 1821204496 | Kim Stewart Archbold | Surgery | 55 520 Kulanui St, Byu-h Box 1916, Laie, HI 96762 | 2007-05-14 |
| 1073616603 | Kevin Nephi Baize | Optometrist | 55-510 Kam Hwy, Suite 17, Laie, HI 96762 | 2006-09-07 |
| 1124130497 | James J.e. Fong | Pharmacist | 55-510 Kamehameha Hwy, D.a. Pharmacy, Laie, HI 96762 | 2006-08-31 |
| 1831731124 | Paul Steven Buckingham | Social Worker | 55-510 Kamehameha Hwy Ste 15, Laie, HI 96762-1119 | 2019-10-08 |
| 1568603272 | Ann Z Alisa | Registered Nurse | 55-479 Moana St, Laie, HI 96762-1123 | 2009-03-10 |
| 1962990614 | Mark Moeai | Social Worker | 55-479 Naniloa Loop # A, Laie, HI 96762-1126 | 2018-04-27 |
| Find all providers in zip 96762 | ||||
| Taxonomy Code | 261QR1300X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rural Health |
| Definition to come... |
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| 1205390358 | Kaiser Foundation Health Plan, Inc. | Clinic/Center | 67-1185 Hawaii Belt Road, Waimea, HI 96743 | 2019-01-23 |
| 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 |
| 1770024861 | Kaiser Foundation Health Plan, Inc | Clinic/Center | 1279 S Kihei Rd Ste 120, Kihei, HI 96753-5222 | 2017-03-09 |
| Find all providers with the same taxonomy | ||||
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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.