# REHABILITATION HOSPITAL OF THE PACIFIC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** REHAB at Hilo
- **Organization subpart:** No

## Provider details

- **NPI number:** 1174632897
- **Authorized official:** STEPHANIE NADOLNY (PRESIDENT & CEO)
- **Authorized official phone:** (808) 566-3815

## Contact information

- **Practice address:** 76 PUUHONU PL, HILO, HI 96720-2001
- **Practice address phone:** (808) 961-5776
- **Practice address fax:** (808) 961-6473
- **Mailing address:** 226 N KUAKINI ST, HONOLULU, HI 96817-2421
- **Mailing address phone:** (808) 531-3511
- **Mailing address fax:** (808) 544-3377

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QR0400X | Rehabilitation Clinic/Center | OHCA\#35H | HI | Yes |

## Other

- **Enumeration date:** 08/29/2006
- **Last updated:** 06/20/2022

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 01 | — | 00D0208555 | ALL HMSA PLANS | — |
| 01 | — | 144692906 | OWCP | — |
| 05 | — | 51994401 | — | HI |
| 01 | — | 96720B001 | CHAMPUS | — |