# CASTLE MEDICAL CENTER

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- **Entity:** Organization
- **Status:** Active
- **Parent organization:** CASTLE MEDICAL CENTER
- **Other names:** ADVENTIST HEALTH CASTLE
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1679540264
- **Legal business name:** CASTLE MEDICAL CENTER
- **Authorized official:** NICOLAS JOHNSON (CFO)
- **Authorized official phone:** (808) 263-5142

## Contact information

- **Practice address:** 46 001 KAMEHAMEHA HWY, SUITE 108, KANEOHE, HI 96744
- **Practice address phone:** (808) 263-5090
- **Practice address fax:** (808) 247-1785
- **Mailing address:** 46 001 KAMEHAMEHA HWY, SUITE 108, KANEOHE, HI 96744
- **Mailing address phone:** (808) 263-5093
- **Mailing address fax:** (808) 263-5092

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 332B00000X | Durable Medical Equipment & Medical Supplies | — | NULL | — |
| 333600000X | Pharmacy | — | NULL | — |
| 3336C0003X | Community/Retail Pharmacy | PHY531 | HI | Yes |

## Other

- **Enumeration date:** 03/02/2006
- **Last updated:** 01/07/2025

## Other identifiers

| Code | Description | Identifier | Issuer | State |
| --- | --- | --- | --- | --- |
| 05 | — | 08205901 | — | HI |
| 01 | — | 1202136 | NCPDP (NATIONAL COUNCIL FOR PRESCRIPTION DRUG PROGRAMS) | — |
| 01 | — | 2018180 | PK | — |