KAHUKU MEDICAL CENTER (NPI# 1881858447) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881858447 |
| Entity Type | Organization |
| Organization Name | KAHUKU MEDICAL CENTER |
| Practice Address |
56-117 Pualalea St Kahuku HI 96731-2052 |
| Mailing Address |
56-117 Pualalea Street Kahuku HI 96731 |
| Practice Telephone | 8082939221 |
| Practice Fax Number | 8082932262 |
| Mailing Telephone | 8082939221 |
| Mailing Fax Number | 8082931574 |
| Enumeration Date | 2008-07-14 |
| Last Update Date | 2014-02-06 |
| Authorized Official Name | MS. STEPHANY VAIOLETI (CEO) |
| Authorized Official Telephone | 8082939221 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 275N00000X | Medicare Defined Swing Bed Unit | Hospital Units |
| 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 |
| 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 |
| 1225228687 | Kahuku Medical Center | Nursing Facility/Intermediate Care Facility | 56-117 Pualalea St, Kahuku, HI 96731-2052 | 2007-07-31 |
| 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 | 275N00000X |
| Grouping | Hospital Units |
| Classification | Medicare Defined Swing Bed Unit |
| A unit of a hospital that has a Medicare provider agreement and has been granted approval from HCFA to provide post-hospital extended care services and be reimbursed as a swing-bed unit. |
| Notes: Source: Code of Federal Regulations #42, Section 482.66. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083181226 | Maui Health System A Kaiser Foundation Hospitals LLC | Medicare Defined Swing Bed Unit | 100 Keokea Pl, Kula, HI 96790-7450 | 2018-10-25 |
| 1942550173 | Kona Hospital | Medicare Defined Swing Bed Unit | 79-1019 Haukapila St, Kealakekua, HI 96750-7920 | 2012-09-14 |
| 1912062779 | Kohala Hospital | Medicare Defined Swing Bed Unit | 54 383 Hospital Rd, Kapaau, HI 96755 | 2006-12-22 |
| 1508927427 | Samuel Mahelona Memorial Hospital | Medicare Defined Swing Bed Unit | 4800 Kawaihau Road, Kapaa, HI 96746-1998 | 2006-12-13 |
| 1649345968 | Kauai Veterans Memorial Hospital | Medicare Defined Swing Bed Unit | 4643 Waimea Canyon Drive, Waimea, HI 96796 | 2006-11-21 |
| 1902977440 | Kau Hospital | Medicare Defined Swing Bed Unit | 1 Kamani Street, Pahala, HI 96777 | 2006-11-13 |
| 1639257793 | Kula Hospital | Medicare Defined Swing Bed Unit | 100 Keokea Pl, Kula, HI 96790-7450 | 2006-11-02 |
| 1629154604 | Hale Ho'ola Hamakua | Medicare Defined Swing Bed Unit | 45-547 Plumeria St, Honokaa, HI 96727-6902 | 2006-10-31 |
| 1225113442 | Wilcox Memorial Hospital | Medicare Defined Swing Bed Unit | 3-3420 Kuhio Hwy, Lihue, HI 96766-1099 | 2006-10-26 |
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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.