# SPARK MATSUNAGA VA MEDICAL CENTER

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1063881449
- **Authorized official:** MR. MICHAEL JACKSON (ADMINISTRATIVE OFFICER)
- **Authorized official phone:** (808) 838-6509

## Contact information

- **Practice address:** 459 PATTERSON ROAD, HONOLULU, HI 96819
- **Practice address phone:** (808) 748-1341
- **Mailing address:** 459 PATTERSON ROAD, HONOLULU, HI 96819
- **Mailing address phone:** (808) 748-1341

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QV0200X | VA Clinic/Center | APRN-1831 | HI | Yes |

## Other

- **Enumeration date:** 09/16/2015
- **Last updated:** 09/16/2015