# WILCOX MEMORIAL HOSPITAL

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

## Provider details

- **NPI number:** 1225113442
- **Authorized official:** MS. KATHY CLARK RN, BSN, MBA (PRESIDENT AND CHIEF EXEC. OFFICER)
- **Authorized official phone:** (808) 245-1122

## Contact information

- **Practice address:** 3-3420 KUHIO HWY, LIHUE, HI 96766-1099
- **Practice address phone:** (808) 245-1100
- **Practice address fax:** (808) 245-1223
- **Mailing address:** 3-3420 KUHIO HWY, LIHUE, HI 96766-1099
- **Mailing address phone:** (808) 245-1100
- **Mailing address fax:** (808) 245-1223

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 275N00000X | Medicare Defined Swing Bed Hospital Unit | — | HI | — |
| 282NR1301X | Rural Acute Care Hospital | 23-H | HI | Yes |

## Other

- **Enumeration date:** 10/26/2006
- **Last updated:** 07/21/2022