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Organization
KAU HOSPITAL
Active
Organization
KAU HOSPITAL
Active
Parent organization
HAWAII HEALTH SYSTEMS CORPORATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
HAWAII HEALTH SYSTEMS CORPORATION
Authorized official
MRS. MERILYN J HARRIS (ADMINISTRATOR)
(808) 928-2050
Entity
Organization
Contact information
Practice address
1 KAMANI STREET, PAHALA, HI 96777
(808) 928-2050
(808) 928-8980
Mailing address
PO BOX 40, PAHALA, HI 96777-0040
(808) 928-2050
(808) 928-8980
Taxonomy
Speciality
Code
Description
License number
State
282NC0060X
Critical Access Hospital
Primary
121301
HI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00567501
MEDICAID
HI
01
—
A005064
HMSA ACUTE
HI
01
—
B005062
HMSA SNF
HI
01
—
H005069
HMSA OUTPATIENT
HI
01
—
K005062
HMSA QUEST ICF
HI
Enumeration date
10/16/2006
Last updated
02/07/2011
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