# KAU HOSPITAL

> 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
- **Parent organization:** HAWAII HEALTH SYSTEMS CORPORATION
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1558441311
- **Legal business name:** HAWAII HEALTH SYSTEMS CORPORATION
- **Authorized official:** MRS. MERILYN J HARRIS (ADMINISTRATOR)
- **Authorized official phone:** (808) 928-2050

## Contact information

- **Practice address:** 1 KAMANI STREET, PAHALA, HI 96777
- **Practice address phone:** (808) 928-2050
- **Practice address fax:** (808) 928-8980
- **Mailing address:** PO BOX 40, PAHALA, HI 96777-0040
- **Mailing address phone:** (808) 928-2050
- **Mailing address fax:** (808) 928-8980

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 282NC0060X | Critical Access Hospital | 121301 | HI | Yes |

## Other

- **Enumeration date:** 10/16/2006
- **Last updated:** 02/07/2011

## 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 |